Distal fingertip replantation: indications, strategy and postoperative management

Author:

Venkatramani Hari1,Adani Roberto2,Safa Bauback3,Chen Chao4,Lee Dong Chul5,Chen Jing6

Affiliation:

1. Department of Plastic Surgery, Hand and Reconstructive Microsurgery, Ganga Medical Center and Hospitals Pvt. Ltd., Coimbatore, Tamilnadu, India

2. Department of Hand Surgery and Microsurgery, University Hospital of Modena, Modena, Italy

3. The Buncke Clinic, San Francisco, CA, USA

4. Department of Hand and Foot Surgery, Shandong Provincial Hospital, Shandong First Medical University, Jinan, PR China

5. Department of Plastic and Reconstructive Surgery, Kwang-Myung Sung-Ae General Hospital, Gwangmyeong, Republic of Korea

6. Department of Hand Surgery of Jiangsu Province, Affiliated Hospital of Nantong University, Nantong, Jiangsu, PR China

Abstract

Distal fingertip replantation is associated with being a technically demanding procedure and dubious outcomes, although it is now performed more frequently across the world. However, the technique and outcomes remain controversial with disagreement among replantation surgeons due to lack of consensus about the indications, intraoperative strategy and postoperative regimes. In this article, we asked six experienced hand surgeons several pertinent questions that every replantation surgeon performing distal fingertip replantation would face in their clinical practice. The article summarizes their responses, which might provide valuable insight to every replantation surgeon in different parts of their career while managing these injuries.

Publisher

SAGE Publications

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