Replantation of a multiple digit and circular palm amputation: A case report

Cai, Jinfang; Cao, Xia; Pan, Jiqing; Hu, Jianguo

doi:10.1002/micr.1920140315

Cited by 10 publications

(7 citation statements)

References 1 publication

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“…Replantation with double level amputation at the palm and forearm was reported by Belsky in 1986, 19 and replantation of segmentally amputated digits was first reported by Liu et al in 1989, 20 with survival of three (six segments) out of four (eight segments) fingers. Other authors have reported similar success, 21,22 with the largest series to date reported by Pei et al, 22 with 22 patients. In this series, 20 out of 22 patients had survival of all replanted digits, with partial survival of a thumb in one patient, and loss of two out of four digits in another patient.…”

Section: Multiple-level Amputationsmentioning

confidence: 58%

Challenges in Replantation of Complex Amputations

Chim

Maricevich

Carlsen

et al. 2013

Seminars in Plastic Surgery

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Surgical ingenuity has resulted in continuing microsurgical innovation in replantation. In this article, the authors define complex amputations as those that stretch the boundaries or fall outside traditionally defined indications for replantation. They discuss management of difficult situations involving multiple digit amputations, multiple-level amputations, prolonged ischemia, and multiple trauma. The role of transpositional and ectopic replantation, as well as the requirement for secondary procedures in replantation is also discussed. Although technically challenging, microsurgical management of complex amputations ultimately results in far superior outcomes.

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Section: Multiple-level Amputationsmentioning

confidence: 58%

Challenges in Replantation of Complex Amputations

Chim

Maricevich

Carlsen

et al. 2013

Seminars in Plastic Surgery

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“…The complexity of the multi-segment amputation made the reattachment technically challenging. 8,9 However, as in microsurgery, technical advancements have allowed replantation surgery to become a routine procedure. 3,8,9 A satisfactory functional recovery depends on several conditions: the surgeon's expertise, short ischemic time, sufficient functional rehabilitation, and secondary lysis of tendon adhesion.…”

Section: Discussionmentioning

confidence: 99%

“…8,9 However, as in microsurgery, technical advancements have allowed replantation surgery to become a routine procedure. 3,8,9 A satisfactory functional recovery depends on several conditions: the surgeon's expertise, short ischemic time, sufficient functional rehabilitation, and secondary lysis of tendon adhesion. 10 During the replantation of a multi-segment amputation, surgeons should consider some factors potentially affecting the results.…”

Section: Discussionmentioning

confidence: 99%

Headband technique of reimplantation of a partially amputed finger: a first reported in literature

Upadhyaya,

Arya,

Munde

et al. 2023

Int J Res Orthop

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Background: Reimplantation of a partially amputee finger is a challenging task especially in resource limited country like India. In most of the scenario it lands in total amputation either due to delay in arrival at operative set up or due to lack of plastic surgery facility. Methods: We developed an innovative approach (1st reported in literature) of “headband technique “of reimplantation of such partially amputee fingers and toes. Partially amputee fingers and toes with viability were selected for the operative treatment and for the study. The study was conducted from January 2020 to 2021 with a follow up period for 6 months at our institution. The innovative suturing technique involved a single stitch at the tip of the pulp and rest on adjacent to nail bed securing the neurovascular structures. The patient was in age group of 9 months to 94 years, mostly traumatic injury, with 40 male and 15 female patients. Patients who reported with fully amputee fingers, black escharotic finger were excluded from the study. Results: To our accomplishment out of 55 operated patients, more than 50 have fully recovered. Conclusions: With this simple technique of reimplantation even doctor at PHC’S can save fingers from getting amputed. Our study is with small number of patients; hence we advocate a larger study for to have conclusive evidence for the same.

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“…All cases in the literature were reported in significantly younger patients. 1–6 The decision for replantation must be made on a case-by-case basis.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, only cases of young patients are documented, where a return of functional sensibility can be expected. 1–6 …”

mentioning

confidence: 99%

Multiple-level Replantation in Elderly Patients: Risk Versus Benefit

Jakubietz

Meffert

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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Summary:Multiple-level amputations of the upper extremity represent a surgical challenge generally only attempted in young patients. This case demonstrates a successful replantation in an elderly woman. The postoperative course was complicated by disseminated intravascular coagulopathy most likely due to inadequate resuscitation. Hand trauma is often underestimated in its general severity. Upper extremity amputations need to be handled similar to polytraumatized patients.

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Replantation of a multiple digit and circular palm amputation: A case report

Cited by 10 publications

References 1 publication

Challenges in Replantation of Complex Amputations

Challenges in Replantation of Complex Amputations

Headband technique of reimplantation of a partially amputed finger: a first reported in literature

Multiple-level Replantation in Elderly Patients: Risk Versus Benefit

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