Replantation of digits

Alternative names:

reattachment of amputated fingers; revascularization of amputated digits

Definition:

Surgical repair of a completely amputated finger or toe. Revascularization is the procedure performed on incomplete amputations, when the part remains attached to the body by skin, artery, vein, or nerve.

Description:

While the patient is sleepy (sedated) or deep asleep and pain-free (regional anesthesia or general anesthesia),the bone ends are shortened to eliminate tension on the repaired vessels. The bone is stabilized with wires. Tendon repairs are done next. Digital nerves and vessels are repaired with microsurgical instruments. This part of the surgery is most critical to its success. The skin is then closed. A bulky dressing is applied. Young children may have a cast applied to protect the area from injury.

Indications:

The surgery is recommended in a case of amputated fingers or toes, with salvaged digits in a condition that would enable replantation.