Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations
Fingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip...
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| Format: | Article |
| Language: | English |
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2011-01-01
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| Series: | Indian Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=2;spage=237;epage=245;aulast=Venkatramani |
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| _version_ | 1849395751025639424 |
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| author | H Venkatramani S Raja Sabapathy |
| author_facet | H Venkatramani S Raja Sabapathy |
| author_sort | H Venkatramani |
| collection | DOAJ |
| description | Fingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip replantations in 24 patients done over a period of 8 years since the year 2000. Twenty-one fingertips survived. The most common affected digit in the series was thumb followed by index, middle, and ring. The overall success rate was 87%. Both arterial and venous repair were done in all cases. Replantation was not done if no suitable vein was found for anastomosis. Nine patients did not have nerve repair. Seven of them survived and all of them had satisfactory sensation when examined after 1 year. No patient suffered from cold intolerance. All patients were satisfied with the functional outcome and aesthetic appearance. This article highlights the technical considerations and the outcome of these fingertip replants. |
| format | Article |
| id | doaj-art-a781eeeb5e0f4fcb81a993ca05dae724 |
| institution | Kabale University |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a781eeeb5e0f4fcb81a993ca05dae7242025-08-20T03:39:31ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2011-01-0144223724510.4103/0970-0358.85345Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantationsH VenkatramaniS Raja SabapathyFingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip replantations in 24 patients done over a period of 8 years since the year 2000. Twenty-one fingertips survived. The most common affected digit in the series was thumb followed by index, middle, and ring. The overall success rate was 87%. Both arterial and venous repair were done in all cases. Replantation was not done if no suitable vein was found for anastomosis. Nine patients did not have nerve repair. Seven of them survived and all of them had satisfactory sensation when examined after 1 year. No patient suffered from cold intolerance. All patients were satisfied with the functional outcome and aesthetic appearance. This article highlights the technical considerations and the outcome of these fingertip replants.http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=2;spage=237;epage=245;aulast=VenkatramaniDistal replantationfinger tip replantationtip amputationstechnical considerations |
| spellingShingle | H Venkatramani S Raja Sabapathy Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations Indian Journal of Plastic Surgery Distal replantation finger tip replantation tip amputations technical considerations |
| title | Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| title_full | Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| title_fullStr | Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| title_full_unstemmed | Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| title_short | Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| title_sort | fingertip replantation technical considerations and outcome analysis of 24 consecutive fingertip replantations |
| topic | Distal replantation finger tip replantation tip amputations technical considerations |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2011;volume=44;issue=2;spage=237;epage=245;aulast=Venkatramani |
| work_keys_str_mv | AT hvenkatramani fingertipreplantationtechnicalconsiderationsandoutcomeanalysisof24consecutivefingertipreplantations AT srajasabapathy fingertipreplantationtechnicalconsiderationsandoutcomeanalysisof24consecutivefingertipreplantations |