The results of replantation after amputation of a single finger.

Current indications for single digit replantation

“…This includes bone shortening, rigid fixation, vessel anastomosis without tension and on healthy tissue and tendon and nerve repair. The main goal, however, today is not simply to salvage the finger, but for the patient to achieve adequate motion and use of the finger (Urbaniak et al 1985).…”

“…Experience now dictates that survival of a digit per se no longer justifies all attempts at replantation, but rather of more importance is the function and usefulness of the finger. A digit which does not move and is bypassed by the patient, is not considered useful and, thus, replantation should not have been attempted (Tamai et al 1981, Urbaniak et al 1985, Yamano 1985.…”

A salvage method for multiple digital degloving injury; Wrap around degloved fingers with distal based radial forearm perforator flap

“…Controversies exist regarding whether replantation or revision amputation should be performed. Urbaniak et al [8] calculated that the general practice of replanting complete avulsion injuries results in compromised hand function. The mean survival rate for complete avulsion finger injuries undergoing replantation was 66%.…”

Skeletal fixation in digital replantation

“…1À3,10,11 The emerging consensus is that single-digit amputations distal to the flexor digitorum superficialis insertion are substantially more successful than those proximal to it. 4,12,13 Poor functional outcomes and a high rate of secondary surgery, much of it unsuccessful, accompany digital replantation in up to 50% of patients with amputations proximal to the superficialis insertion.…”

“…1 Later, they assessed the recovery of digital function as a parameter of success (Table 1). 2,13 The ability to resume a previous occupation or to perform modified work is one important functional parameter. 2 The classification by Chen et al 38 incorporates these factors for evaluating successful recovery of digital replants.…”