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KMID : 0621520110160010009
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Journal of the Korean Society for Surgery of the Hand
2011 Volume.16 No. 1 p.9 ~ p.17
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Suspended Replantation in Complete Amputations of the Hand and Finger
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Cheon Ho-Jun
Ahn Hee-Chan
Kim Kyung-Chul
Woo Sang-Hyun
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Abstract
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Purpose: We report the results of replantations which was intentionally delayed for a certain period of time in patients with an amputation of multiple digits, both hands or the single digit presented at night.
Materials and Methods : Two staged intentianlly delayed replantations were performed in twenty patients. Three patients had amputations of four or more fingers, two had bilateral hand amputations and fifteen had a single digit amputation.
Results: The mean warm ischemic time was 3 hours and 58 minutes. The mean cold ischemic time was 2 hours and 36 minutes for the first operation, and 15 hours and 13 minutes for the second operation. Twenty digits out of 28 digits (85%) survived completely. At the mean follow-up of months, functional results according to Chen’s criteria were rated as excellent in six patients, good in eight, and fair in five.
Conclusion: When the patients had multiple finger amputations, bilateral hand amputations or presented late at
night, intentional delay of the replantation also provide satisfactory outcomes.
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KEYWORD
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Multiple digits amputation, Delayed replantation
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