Abstract
We present indications, strategies, and surgical tips of microsurgical replantation and revascularization of the thumb based on more than 200 cases at W hospital last 10 years. Replantation and revascularization of the thumb is performed to treat any level, any type of injury, and any age of amputation of the thumb. Replantation technique is described in special conditions of amputations at very distal level, avulsion and degloved amputation, and segmental amputation. Transpositional replantation of the thumb refers to the transposition and replantation of any digit to the thumb which plays a more significant role in the function of the hand. Rehabilitation, secondary procedures, and outcomes are reviewed.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Malt RA, McKhann C. Replantation of severed arms. JAMA. 1964;189:716–22.
Chen CW, Chien YC, Pao YS. Salvage of the forearm following complete traumatic amputation: report of a case. Chin Med J (Engl). 1963;82:633–8.
Komatsu S, Tamai S. Successful replantation of a completely cut-off thumb: case report. Plast Reconstr Surg. 1968;42:374–7.
O’Brien B, Miller GDH. Digital reattachment and revascularization. J Bone Joint Surg. 1973;55A:714–23.
Hattori Y, Doi Y, Sakamoto S, et al. Fingertip replantation. J Hand Surg. 2007;32A:548–55.
Richard M, Lewis RG, Levin S. Wiesel’s operative techniques in orthopedic surgery. Philadelphia: Lippincott Williams and Wilkins; 2011. p. 2888–99.
Huang HF, Yeong EK. Surgical treatment of distal digit amputation: success in distal digit replantation is not dependent on venous anastomosis. Plast Reconstr Surg. 2015;135:174–8.
Erken HY, Takka S, Akmaz I. Artery-only fingertip replantations using a controlled nailbed bleeding protocol. J Hand Surg. 2013;38A:2173–9.
Schlenker JD, Kleinert HE, Tsai TM. Methods and results of replantation following traumatic amputation of the thumb in sixty-four patients. J Hand Surg Am. 1980;5:63–70.
Bieber EJ, Wood MB, Cooney WP, et al. Thumb avulsion: results of replantation/revascularization. J Hand Surg Am. 1987;12:786–90.
Agarwal JP, Trovato MJ, Agarwal S, et al. Selected outcomes of thumb replantation after isolated thumb amputation injury. J Hand Surg Am. 2010;35:1485–90.
Mahmoudi E, Chung KC. Effect of hospital volume on success of thumb replantation. J Hand Surg Am. 2017;42:96–103.
Schwabegger AH, Harpf C, Rumer A, et al. Transpositional replantation of digits. Case reports. Scand J Plast Reconstr Surg Hand Surg. 1999;33:243–9.
Mahmoudi E, Huetteman HE, Chung KC. A population-based study of replantation after traumatic thumb amputation, 2007-2012. J Hand Surg Am. 2017;42:25–33.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 Springer Nature Singapore Pte Ltd.
About this chapter
Cite this chapter
Kang, D.H., Kim, Y.W., Cheon, H.J., Ahn, H.C. (2019). Replantation and Revascularization. In: Woo, S. (eds) The Thumb. Springer, Singapore. https://doi.org/10.1007/978-981-10-4400-7_19
Download citation
DOI: https://doi.org/10.1007/978-981-10-4400-7_19
Published:
Publisher Name: Springer, Singapore
Print ISBN: 978-981-10-4399-4
Online ISBN: 978-981-10-4400-7
eBook Packages: MedicineMedicine (R0)