Gad, A., Salama, S., Amin, E. (2024). The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation. The Egyptian Journal of Plastic and Reconstructive Surgery, 48(4), 281-289. doi: 10.21608/ejprs.2024.385102
Ahmed Mohamed Gad; Sherine Metwally Salama; Ebrahiim Mohamed Amin. "The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation". The Egyptian Journal of Plastic and Reconstructive Surgery, 48, 4, 2024, 281-289. doi: 10.21608/ejprs.2024.385102
Gad, A., Salama, S., Amin, E. (2024). 'The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation', The Egyptian Journal of Plastic and Reconstructive Surgery, 48(4), pp. 281-289. doi: 10.21608/ejprs.2024.385102
Gad, A., Salama, S., Amin, E. The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation. The Egyptian Journal of Plastic and Reconstructive Surgery, 2024; 48(4): 281-289. doi: 10.21608/ejprs.2024.385102
The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation
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.
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