Abstract
Replantation surgery is a demanding procedure that requires expertise in microsurgical techniques. The indications for replantation are well documented with formulated guidelines. For cases that face more complex problems, the surgeon should be aware of other alternative techniques. Sophisticated measures are now available to follow the replanted digit post-operatively and a plethora of methods are available for early identification of complications. Nonetheless, the presence of a member of the replantation team with the assistance of a nurse on a 24-h basis is still widely accepted as the most beneficial means for avoiding an undesirable post-operative course for the replanted digit. Overall, the current aim which underlines the philosophy in digital replantation today is ensuring not only the survival of the finger, but more importantly its functional use as well. Experience dictates that this can be achieved only if the basic principles and indications are adhered to.
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References
Beris AE, Soucacos PN, Malizos KN, Xenakis TA. Microsurgical treatment of ring avulsion injuries. Microsurgery. 1994;15:459–63.
Beris AE, Soucacos PN, Malizos KN. Microsurgery in children. Clin Orthop. 1995;314:112–21.
Hunter JM. Staged flexor tendon reconstruction. In: Hunter JM, Schneider LH, Mackin EJ, Callahan AO, editors. Rehabilitation of the hand. St. Louis: CV Mosby Co; 1984. p. 288–313.
Komatsu S, Tamai S. Successful replantation of a completely cut-off thumb: case report. Plast Reconstr Surg. 1968;42:374–7.
Malizos KN, Beris AE, Kabani CT, Soucacos PN. Distal phalanx microsurgical replantation. Microsurgery. 1994;15:464–8.
Merle M, Dap F, Bour C. Digital replantation. In: Meyer VE, editor. Black MJM: microsurgical procedures. London: Churchill Livingstone; 1991. p. 21–35.
Soucacos PN, Beris AE, Malizos KN, Touliatos AS. Bilateral thumb amputation. Microsurgery. 1994;15:454–8.
Soucacos PN, Beris AE, Malizos KN, Kabani CT, Pakos S. The use of medicinal leeches, Hirudo medicinalis, to restore venous circulation in trauma and reconstructive microsurgery. Intern Angiol. 1994;13:319–25.
Soucacos PN, Beris AE, Malizos KN, Vlastou C, Soucacos PK, Georgoulis AD. Transpositional microsurgery in multiple digital amputations. Microsurg. 1994;15:469–73.
Soucacos PN: Microsurgery in orthopaedics. In Casteleyn PP, Duparc J, Fulford P, editors. European Instructional Course Lectures. Vol 2. London: Br Editorial Soc Bone Joint Surg. 1995a;149–156.
Soucacos PN, Beris AE, Touliatos AS, Korobilias AB, Gelalis J, Sakas G. Complete versus incomplete nonviable amputations of the thumb: comparison of the survival rate and functional results. Acta Orthop Scand. 1995;66 Suppl 264:16–8.
Soucacos PN, Beris AE, Touliatos AS, Vekris M, Pakos S, Varitimidis S. Current indications for single digit replantation. Acta Orthop Scand. 1995;66 Suppl 264:12–5.
Soucacos PN. Two-stage flexor tendon reconstruction using silicone rods. In: Vastamaki M, editor. Current trends in hand surgery. Amsterdam: Elsevier; 1995. p. 353–7.
Soucacos PN. Indications and selection for digital amputation and replantation. J Hand Surg Br. 2001;26:572–81.
Touliatos AS, Soucacos PN, Beris AE, Zoubos AB, Koukoubis TH, Makris H. Alternative techniques for restoration of bony segments in digital replantation. Acta Orthop Scand. 1995;66 Suppl 264:19–22.
Urbaniak JR, Roth JH, Nunley JA, Goldner RD, Koman A. The results of replantation after amputation of a single finger. J Bone Joint Surg. 1985;67A:611–9.
Urbaniak JR. Digital replantation: a 12-year experience. In: Urbaniak JR, editor. Microsurgery for major limb reconstruction. St. Louis: C.V. Mosby; 1987. p. 12–21.
Zoubos AB, Soucacos PN, Seaber AV, Urbaniak JR. The effect of heparin after microvascular repair in traumatically damaged arteries. Int Angiol. 1994;13(3):245–9.
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Soucacos, P.N. (2014). Re-Implantation and Amputation of the Digits and Thumb. In: Bentley, G. (eds) European Surgical Orthopaedics and Traumatology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-34746-7_90
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DOI: https://doi.org/10.1007/978-3-642-34746-7_90
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