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Replantation

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Pediatric Hand Surgery

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Abstract

Most replantations are indicated in children due to their advantageous nerve regeneration, greater healing potential and functional outcome. A replanted limb has better functional results than a prosthesis. The proper care of the amputated extremity is essential during an expedient transfer to a replantation centre. The ischaemia time of an amputated part with musculature should not exceed 6 h, and a vascular shunt must be considered if possible. Vasospasms are more often encountered in children and must be recognised promptly and treated as early as possible considering the small vessel size. The outcomes depend on the type of injury, level of injury, the child`s weight, the ischaemia time and microsurgical competence of the surgical team. Increased survival rates are present when two veins are repaired. The follow-up is multidisciplinary and long term.

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Authors and Affiliations

  1. Division of Orthopaedic Surgery, Oslo University Hospital, Oslo, Norway

    Mona I. Winge

  2. Oslo, Norway

    Magne Røkkum

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Correspondence to Mona I. Winge .

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  1. Department of Hand Surgery and Rehabilitation, S. Giuseppe MultiMedica Hospital, Milan University, Milano, Italy

    Giorgio Pajardi

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Winge, M.I., Røkkum, M. (2023). Replantation. In: Pajardi, G. (eds) Pediatric Hand Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-30984-7_28

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