The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation

Document Type : Original Article

Authors

The Department of Plastic, Burn and Maxillofacial Surgery, Faculty of Medicine, Ain Shams University

Abstract

Background: Traumatic finger avulsion amputation is considered
one of the most challenging emergency procedures in
the field of hand surgery. The good preparation of variable different
situation that may be faced by the surgeon in that critical
condition is important issue.
Objective: Trying to solve chalenges associated with replantation
of amputed fingers.
Patients and Methods: During the period from March
2020 to October 2023, 17 cases were included in this prospective
study presented with traumatic avulsion amputation of
their finger underwent replantation. Different scenarios of the
trauma necessitate the presence of different solutions.
Results: This study was performed on 17 patients, 11 males
(64.7%) and 6 females (35.3%) with mean age (27.18±14.16)
year. Commonly involved finger was thumb (36.8%). Trauma
by revolving machines in 13 cases (76.5%) and heavy blunt
objects in 4 cases (23.5%). Average ischemia time were 3
hours of them 11 cases (64.7%) were cold ischemia, and 6 cases
(35.3%) were warm ischemia.
Conclusion: The procedure of replantation of traumatic
finger avulsion amputation has multiple difficulties to the hand
surgeon. The surgical decision must be tailored according to
the condition faced during surgery. An accepted final outcome
can be achieved even in the most difficult scenario with good
surgical preparation.

Keywords

Main Subjects

References

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The Egyptian Journal of Plastic and Reconstructive Surgery
Volume 48, Issue 4
October 2024
Pages 281-289

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