Replantation in children

Yıldız, Mehmet; Şener, Muhittin; Baki, Celål

doi:10.1002/micr.1920120311

Cited by 55 publications

(28 citation statements)

References 30 publications

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“…11 Thus, the fingertip replantation in pediatric population deserves investigation and attempt. Although replantations between the DIP and the nail root planes in children have been reported by various authors, [12][13][14] reports are still rare of replantations distal to the nail root level. 8 The aim of this article is to share our experience with fingertip replantations beyond the nail base in children and address the related clinical characteristics.…”

mentioning

confidence: 97%

Fingertip replantation at or beyond the nail base in children

Shi

et al. 2010

Microsurgery

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Although success of digital replantations in children has been reported by many authors, the very distal fingertip replantation remains technically demanding. The aim of this article is to review our experience with fingertip replantations at or distal to the nail base in pediatric patients and evaluate the clinical outcomes. From October 2000 to May 2007, 12 pediatric fingertips amputated at or distal to the nail base were replanted. Only one artery was anastomosed for revascularization with or without nerve repair; vein drainage was provided by the controlled bleeding technique. Eleven of the 12 replants (91%) survived; one replant of crushed digit failed. An average of 26 month (range, 6 to 36 months) follow-up revealed excellent restoration of finger motion and appearance. The regained static 2-point discrimination (S2PD) sensation was from 3.2 to 5.0 mm (mean, 4.2 mm). Both the parents and the children were satisfied with the final results. In conclusion, fingertip replantation in children allows good functional and esthetical recovery and should be attempted if technically feasible.

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confidence: 97%

Fingertip replantation at or beyond the nail base in children

Shi

et al. 2010

Microsurgery

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“…These defects are usually managed by bone shortening procedures to facilitate direct end to end anastomosis of vessels. [1][2][3][4][5][6] Anatomically, a fingertip amputation occurs at a special site where the tendon insertions, nail bed and nail matrix are located. These structures play a very important functional and cosmetic role.…”

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confidence: 99%

Vein grafting in fingertip replantations

et al. 2009

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In this retrospective study, the survival rates of fingertip replantation with and without vein grafting were evaluated along with their postoperative functional and cosmetic results. One hundred twenty-one-fingertip amputations were performed in 103 patients between September 2002 and July 2007. Thirty-four amputated fingertips were replanted without vein grafting, while 87 amputated fingertips were replanted with vein grafting for arterial and/or venous repairs. The overall survival rates of the replantations with and without vein grafting were 90% (78/87) and 85% (29/34), respectively. The survival rates were 88% (36/41) with venous repair, 93% (25/27) with arterial repair, and 89% (17/19) with both. Nineteen patients without vein grafting and 48 patients with vein grafting had a follow-up period of more than one year. Good cosmetic and functional outcomes were observed in both groups of patients. The results show that vein grafting is a reliable technique in fingertip replantations, showing no significant difference (P > 0.05) in survival between those with and without vein grafting. Furthermore, no significant difference (P > 0.05) in survival was found between cases with vein grafts for arterial and/or venous repairs. In fingertip replantations with vein grafting, favorable functional and esthetic results can be achieved without sacrificing replantation survival.

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“…1,12 In our series, sensory recovery of all digits was satisfactory. But functional results are not as good as sensibility of the injured parts.…”

Section: Discussionmentioning

confidence: 71%

“…1 Because the vessel diameter might be less than 0.5 mm in children, replantation process on the digital amputations is technically demanding. 2 Advances in microsurgical techniques have been permitted replantation and reconstructive procedures to restore injured parts with a high degree of success in children.…”

mentioning

confidence: 99%

Replantation in children

1998

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The rates of survival of the amputated part and the functional outcomes were studied retrospectively after 13 replantations and 12 revascularizations in 25 children. The ages of the patients ranged from 2 to 15 years (mean, 6.4 years). The average duration of follow-up was 4.2 years (range, 2 to 7 years). The survival rate was higher after revascularization (94.6%) than after replantation (84.6%). Sensory recovery of all digits was satisfactory. The mean growth rate of replanted digits relative to contralateral digits was 80%. Functional results were rated as excellent in 11 cases, good in 8 cases, moderate in 2 cases, and poor in 1 case. In order to prevent functional and growth disturbances and due to cosmetic reasons, replantation or revascularization should definitely be tried for children.

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Replantation in children

Cited by 55 publications

References 30 publications

Fingertip replantation at or beyond the nail base in children

Fingertip replantation at or beyond the nail base in children

Vein grafting in fingertip replantations

Replantation in children

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