Replantation of digits
Replantation of digits is surgery to reattach fingers or toes that have been cut off (amputated).
Revascularization of amputated digits; Reattachment of amputated fingers
Surgery is done the following way:
Why the Procedure Is Performed
The surgery is done when fingers or toes have been amputated, and are in a condition that would allow replantation.
Risks for anesthesia and surgery in general include:
Risks of this surgery include:
After the Procedure
Special care will be taken while you are in the hospital to make sure blood flows properly to the reattached part. The arm or leg will be kept raised. The room may be kept warm to ensure proper blood flow. The reattached part will be checked often to make sure there is good blood flow.
After you are released from the hospital, you may need to wear a cast to protect the finger or toe. The surgeon may prescribe blood-thinning medicines to prevent blood clots.
Proper care of the amputated part or parts is very important to successful replantation. Under the right conditions, there is a good chance that the surgery can restore the use of the finger or toe. You will need follow-up visits with your health care provider, who will continue checking blood flow in the surgery area.
Children are better candidates for replantation surgery because of their greater ability to heal and regrow tissue.
Replantation of an amputated part is best done within 6 hours after the injury. But replantation can still be successful if the amputated part has been cooled for up to 24 hours after the injury.
You will not have the same flexibility in the finger or toe after surgery. Pain and sensation changes may continue.
Higgins JP. Replantation. In: Wolfe SW, Hotchkiss RN, Pederson WC, Kozin SH, Cohen MS, eds. Green's Operative Hand Surgery. 7th ed. Philadelphia, PA: Elsevier; 2017:chap 42.
Klausmeyer MA, Jupiter JB. Replantation. In: Browner BD, Jupiter JB, Krettek C, Anderson PA, eds. Skeletal Trauma: Basic Science, Management, and Reconstruction. 5th ed. Philadelphia, PA: Elsevier Saunders; 2015:chap 51.
Rose E. Management of amputations. In: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts and Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 47.
Review Date: 8/15/2018
Reviewed By: C. Benjamin Ma, MD, Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery, San Francisco, CA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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