Replantation of Fingers with Rotational Avulsion

  • Jian Lin
  • He-Ping Zheng
  • Yong-Qing Xu
  • Tian-Hao Zhang


Rotation avulsion of fingers is usually caused by a fast rotating machine with a roller and occurs in the left thumb. In most patients, it is characterized by the following:
  1. (a)

    The skin is stripped with the subcutaneous tissue, which is like a flap or avulsion injury.

  2. (b)

    The extensor and flexor tendons are usually pulled out.

  3. (c)

    The digital veins are usually broken near the edge of the skin.

  4. (d)

    The digital nerves are usually pulled out with uneven ends because they are relatively strong.

  5. (e)

    The toughness of the arteries is stronger than that of the veins, but they are weaker than the nerves; thus, they are broken earlier than nerves and later than veins, which is easily understood.



  1. Cheng G, Pan D, Zhiyong Q, et al. Report of 12 cases of replantation of the rotational avulsed thumb. Chin J Surg. 1982;20:712–3.PubMedGoogle Scholar
  2. Pho RW, Chacha PB, Yeo KQ. Rerouting vessels and nerves from other digits in replanting an avulsed and degloved thumb. Plast Reconstr Surg. 1979;64(3):330–5.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Jian Lin
    • 1
  • He-Ping Zheng
    • 2
  • Yong-Qing Xu
    • 3
  • Tian-Hao Zhang
    • 1
  1. 1.Department of Orthopaedic SurgeryXin-hua Hospital (ChongMing)ShanghaiChina
  2. 2.Clinical Anatomic CenterNanjing District General Hospital of PLAFuzhouChina
  3. 3.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina

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