A Unique Case of Replantation of Previously Replanted Fingers

Replantation of digital amputations is now the accepted standard of care. However, rarely will a replantation surgeon be presented with amputated fingers which have been previously replanted. In our literature search, we could find only one publication where a replanted thumb suffered amputation and...

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Main Authors: Ravindra Bharathi, Praveen Bhardwaj, Vigneswaran Varadharajan, Hari Venkatramani, S Raja Sabapathy
Format: Article
Language:English
Published: Thieme Medical and Scientific Publishers Pvt. Ltd. 2021-01-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723911
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author Ravindra Bharathi
Praveen Bhardwaj
Vigneswaran Varadharajan
Hari Venkatramani
S Raja Sabapathy
author_facet Ravindra Bharathi
Praveen Bhardwaj
Vigneswaran Varadharajan
Hari Venkatramani
S Raja Sabapathy
author_sort Ravindra Bharathi
collection DOAJ
description Replantation of digital amputations is now the accepted standard of care. However, rarely will a replantation surgeon be presented with amputated fingers which have been previously replanted. In our literature search, we could find only one publication where a replanted thumb suffered amputation and was successfully replanted again. We report the technical challenges and the outcome of replanting two fingers which suffered amputation 40 months after the initial replantation and were successfully replanted again. Replantation was critical since the amputated fingers were the only two complete fingers in that hand which had initially suffered a four-finger amputation. The second-time replantation of previously replanted fingers is reported to allay the concern of the reconstructive surgeon when faced with this unique situation of “repeat amputation of the replanted finger.” Second-time replantation is feasible and is associated with high-patient satisfaction. Replantation must be attempted especially in the event of multiple digit amputations.
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issn 0970-0358
1998-376X
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publishDate 2021-01-01
publisher Thieme Medical and Scientific Publishers Pvt. Ltd.
record_format Article
series Indian Journal of Plastic Surgery
spelling doaj-art-577469ccae174713b154c2eaca8b65872025-08-20T01:57:08ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2021-01-01540108608910.1055/s-0041-1723911A Unique Case of Replantation of Previously Replanted FingersRavindra Bharathi0Praveen Bhardwaj1Vigneswaran Varadharajan2Hari Venkatramani3S Raja Sabapathy4Department of Plastic, Hand, Burns and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand, Burns and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand, Burns and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand, Burns and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaDepartment of Plastic, Hand, Burns and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, Tamil Nadu, IndiaReplantation of digital amputations is now the accepted standard of care. However, rarely will a replantation surgeon be presented with amputated fingers which have been previously replanted. In our literature search, we could find only one publication where a replanted thumb suffered amputation and was successfully replanted again. We report the technical challenges and the outcome of replanting two fingers which suffered amputation 40 months after the initial replantation and were successfully replanted again. Replantation was critical since the amputated fingers were the only two complete fingers in that hand which had initially suffered a four-finger amputation. The second-time replantation of previously replanted fingers is reported to allay the concern of the reconstructive surgeon when faced with this unique situation of “repeat amputation of the replanted finger.” Second-time replantation is feasible and is associated with high-patient satisfaction. Replantation must be attempted especially in the event of multiple digit amputations.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723911second time replantationmultiple finger amputationre-replantationdigital amputationfinger replant
spellingShingle Ravindra Bharathi
Praveen Bhardwaj
Vigneswaran Varadharajan
Hari Venkatramani
S Raja Sabapathy
A Unique Case of Replantation of Previously Replanted Fingers
Indian Journal of Plastic Surgery
second time replantation
multiple finger amputation
re-replantation
digital amputation
finger replant
title A Unique Case of Replantation of Previously Replanted Fingers
title_full A Unique Case of Replantation of Previously Replanted Fingers
title_fullStr A Unique Case of Replantation of Previously Replanted Fingers
title_full_unstemmed A Unique Case of Replantation of Previously Replanted Fingers
title_short A Unique Case of Replantation of Previously Replanted Fingers
title_sort unique case of replantation of previously replanted fingers
topic second time replantation
multiple finger amputation
re-replantation
digital amputation
finger replant
url http://www.thieme-connect.de/DOI/DOI?10.1055/s-0041-1723911
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