Since the first successful replantation operation, several reports have been recorded replantated finger survival with high success rates. But ten and nine digits amputations are not common. It is even More unusual to have all digits suitable for replantation.
4 cases are presented where replantation of ten and nine digits were done at the department of PRS, Guro Hospital, Korea University from March 1987 to Jun 1988.
In these cases, the patients Were young and healthy, all of ten and nine digits were sharply amputed near the proximal phalanx, so a replantation team of 8 surgeons in alternating fashion replanted all ten and nine digits over 30 hours and each patient received 28 pints of whole blood during the procedure. Under general anesthesia, replantain of both started simultaneously. All digits survived completely except partial necosis of right little finger in case 1. The ischemic time of each digit ranged from 4 hours and 45 minutes to 31 hours an shown in table 5. The long ischemic time did not criticaly affercted the survival of amputated digit. Follow- up was from 12 months to 20 months postoperatively.
The funcitional evaluation revealed as follows;
The grasping power ranged 13 lb to 65 lb.(average; 39.7 lb)
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