The smallest digital replant yet?

Kubo, Takashi; Ikuta, Yoshikazu; Watari, S; Okuhira, Nobuyoshi; Tsuge, Kenya

doi:10.1016/0007-1226(76)90012-6

Cited by 14 publications

(1 citation statement)

References 4 publications

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“…Our experience is similar. The artery available for anastomoses is very small, of 0.3 mm diameter (Gaul and Nunley, 1988), 0.4 mm (Kubo et al, 1976) and can be as small as 0.2 mm (Yamano, 1993). The vein size was 0.1 to 0.2 mm in diameter and in one report vein anastomosis failed (Kubo et al, 1976).…”

Section: Discussionmentioning

confidence: 99%

Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases

Sakamoto

Yoshida

Matsumoto

et al. 2011

J Hand Surg Eur Vol

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Three cases of fingertip amputation at the level between the distal phalanx and the nail base in children below 2 years of age were treated by replantation or revascularization. The injury was complete in two, and incomplete in one. All three fingerstips survived with artery anastomosis without the need for a blood transfusion. In two venous anastomosis failed and venous drainage was achieved by 3-hourly pinprick. Survival of an amputated finger can be expected in cases where venous reconstruction is not possible, provided that there is adequate venous drainage.

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Section: Discussionmentioning

confidence: 99%

Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases

Sakamoto

Yoshida

Matsumoto

et al. 2011

J Hand Surg Eur Vol

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Replantation in children

1991

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The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possible replantation. Replantation should consist of minimal bone shortening to preserve epiphyseal plates, with repair of all severed structures. Longitudinal K-wires usually provide adequate fixation. Our survival rate for complete replantation in children under the age of 16 years is 77%. Long-term study showed that continued skeletal growth occurred and the digit attained 81% of normal longitudinal length at maturity. Recovery of sensibility in the replanted digit is nearly as good as for isolated digital nerve repair. Patient and parent satisfaction is high when replantation is successful, with uniform approval of the extensive effort required.

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Wrist and Hand

2000

Skeletal Injury in the Child

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The smallest digital replant yet?

Cited by 14 publications

References 4 publications

Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases

Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases

Replantation in children

Wrist and Hand

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