Replantation is the reconstruction of an amputated portion of the upper extremity secondary to trauma. diagnosis of an amputated digit is contingent on absence of blood supply (cold, white digit, without soft tissue attachment). Arm, hand and finger replantation. “replantation” is the surgical reattachment of a finger, hand, or arm that has been completely separated from a person (see figure 1). the goal of replantation surgery is to reconnect the separated part. this is done if it can give the patient back better function and appearance.
This activity reviews the technique, indications, contraindications, and complications of digit replantation and highlights the interprofessional team's role in managing patients with digital amputations. objectives: identify the indications for digital replantation. determine the complications of digit replantation. Approximately 15% of these amputations underwent replantation; the mean cost of replantation was >$40,000. in the u.s., amputations are very common in the workplace: amputation rates vary from 1.5 to 3.7 per 10,000 full time workers per year. 1; single finger amputations occur 81% of the time, and multiple finger amputations in 14%. 1. A replantation can require significant recovery time for the patient. depending on the type of amputation and the health of the patient, replantation may not always be possible or appropriate. fingertip amputations in young children. doctors treat fingertip amputations somewhat differently in children younger than 6 years of age. In a finger replantation, only sensory nerve recovery is necessary because the muscles that control the finger are located in the hand and forearm and are not typically injured by the amputation. in a hand or arm replantation, the motor nerves must also heal to allow for movement of the hand wrist elbow.
A replantation can require significant recovery time for the patient. depending on the type of amputation and the health of the patient, replantation may not always be possible or appropriate. fingertip amputations in young children. doctors treat fingertip amputations somewhat differently in children younger than 6 years of age. In a finger replantation, only sensory nerve recovery is necessary because the muscles that control the finger are located in the hand and forearm and are not typically injured by the amputation. in a hand or arm replantation, the motor nerves must also heal to allow for movement of the hand wrist elbow. Some finger amputations are not suitable for replantation and should be closed primarily or by recruiting adjacent soft tissues. the viability of the remaining soft tissues must be ascertained before application of a tourniquet. occasionally, the fillet flap principle can be applied in reconstructing these wounds. What is replantation? “replantation” refers to the surgical reattachment of a limb, e.g. a finger, hand, or arm, that has been completely and traumatically cut from a person’s body, also known as amputation. the goal of replantation surgery is to give the patient back as much use of the injured limb as possible.
Some finger amputations are not suitable for replantation and should be closed primarily or by recruiting adjacent soft tissues. the viability of the remaining soft tissues must be ascertained before application of a tourniquet. occasionally, the fillet flap principle can be applied in reconstructing these wounds. What is replantation? “replantation” refers to the surgical reattachment of a limb, e.g. a finger, hand, or arm, that has been completely and traumatically cut from a person’s body, also known as amputation. the goal of replantation surgery is to give the patient back as much use of the injured limb as possible.
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