The experience of successful replantation of multiple fingers
OU Chang-liang
ZOU Yong-gen
LUO Xu-chao
ZHOU Xin
CHENG Long-feng
HUANG Yu
PENG Zhong-yi
Abstract：Objective To summarize the experience of successful multiple digital replantation.Methods From Jun.2013 to Mar.2016,30 patients with multiple figure injuries were successfully replanted in the Second Affiliated Hospital of Southwest Medical University,including 17 males and 13 females,with an average age of 32.5 years （range，2 -63 years old）.Twenty-six cases received fingers replantation in one-hand，including 2 fingers in 10 cases，3 fingers in 9 cases，4 fingers in 5 cases，and 5 fingers in 2 cases.Two cases had one finger in each hand.Two cases had replantation in both hands ，with three fingers in each hand.Microscopy technique was applied，with the following procedure including debridement ，fracture reduction internal fixation （Kirschner's needle penetration or cross-internal fixation），repair of the extensor tendon，repair of the flexor tendon， anastomosing finger artery and finger nervous proprii，anastomosing the abdominal vein，anastomosing the dorsal vein，suturing skin and closing the wound.Postoperative scientific rehabilitation training was applied and patients were followed up for 3 to 18 months. Results All the 30 patients in this group were followed up.After 3 months of follow-up，the replanted fingers healed well and the appearance was good .After 12 months of follow-up，the finger skin feeling restored normal，and some function of the finger including grip，pinch and palm was restored.At the last follow-up，the efficacy was evaluated according to the evaluation criteria of severed finger replantation function of the Hand Surgery Branch of the Chinese Medical Association.The average score of this group was （85.3 ±2.5）points，including 21 cases of excellent， 6 cases of good，and 3 cases of poor.Except for 3 necrosis，no complication such as finger wound infection or fracture nonunion occurred.Arterial crisis occurred in 3 fingers，and was relieved after surgical exploration.Simultaneously，5 cases of tendon adhesions were observed ，and the finger flexion and extension function was restored after tendon release at 6 months after operation.Conclusion The success of multi-finger replantation not only requires careful planning and team cooperation，but also requires experienced vascular anastomosis .
Keywords：multiple severed fingersreplantation of severed fingersmicroscopy
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 384-387 )