Replantation with Commonly Used Instruments, Equipment, and Materials

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


Finger replantation is an important part of microsurgery, and the key to success is fine blood vessels and nerve anastomosis. Finger blood vessels and nerves are very small; thus, it is very difficult to distinguish them with the naked eye. All surgical protocols must be performed with a microscope, micro-instruments and various special repair materials. The development of the replantation of amputated fingers is closely connected to the development of surgical equipment and materials. It is the continuous development of surgical equipment and materials that promotes the development of replantation of amputated fingers. Below, some of the commonly used equipment and materials for finger replantation are described (Fig. 3.1).


  1. Chen X, Gao W, Jian H. Study on the application of cryopreserved allogeneic tendon. J Chin J Surg. 2001;17(4):223–4.Google Scholar
  2. Freeland AE. Open screw fixation. In: Freeland AE, editor. Hand fractures repair reconstruction and rehabilitation. Philadelphia: Churchill-Livingstone; 2000. p. 46–51.Google Scholar
  3. Grewal AS, Emvic B, Strumas N, et al. The utility of the microvascular, anastomotic, coupler, transfer in free tissue. Can J Plast Surg. 2012;20(2):98–102.CrossRefPubMedPubMedCentralGoogle Scholar
  4. Gu L, Qingtang Z, Wang Overseas Chinese. Expert opinion on symposium on microsurgical vascular anastomosis technique. Chin J Microsurg. 2014;37(2):105.Google Scholar
  5. Guoliang C. Development and improvement of digital replantation. Chin J Hand Surg. 2003;19:129–31.Google Scholar
  6. Guoliang C. Review and prospect of limb (finger) replantation in China. Chin J Microsurg. 2007;30:253–6.Google Scholar
  7. Huang J, Mintao T, Xueyuan L. Medicon mini titanium plate in replantation of amputated fingers. Chin J Hand Surg. 2010;26(5):303.Google Scholar
  8. Kayikcioglu A, Karamursel S, Mavili E, et al. Ann Plast Surg. 2000;45(3):258–63.CrossRefPubMedGoogle Scholar
  9. Minami A, Usui M, Ishii S, et al. The in vivo effects of vatic US immunoreactive treatments on allogenic tendon grafts. J Hand Surg (Am). 1983;8:888–93.CrossRefGoogle Scholar
  10. Qingtang Z, Canbin Z, Xiaolin L. Clinical adaptation of peripheral nerve defect repair materials. The consideration of syndrome. Chin J Microsurg. 2013;36:417–21.Google Scholar
  11. Reddy C, Pennington D, Stem H. Microvascular anastomosis using the vascular closure device in free flap reconstructive surgery: a 13-year experience. J Plast Reconstr Aesthet Surg. 2012;65(2):195–200.CrossRefPubMedGoogle Scholar
  12. Rovak JM, Bishop DK, Boxer LK, et al. Peripheral, nerve transplantation: the, role, of, chemical, acellularization, in, eliminating, allograft antigenicity. J Reconstr Microsurg. 2005;21:207–13.CrossRefPubMedGoogle Scholar
  13. Shu W. Atlas hand surgery. Beijing: People’s Medical Publishing House; 2011. p. 12.Google Scholar
  14. Sun T, Peng W, Jianrong F, et al. Analysis of the effect of microvascular stapler on repair of vascular injuries in extremities. Chin J Microsurg. 2014;37(2):123–5.Google Scholar
  15. Tang J, Fang Y, Panfeng W. Acellular allograft nerve repair for radial nerve and digital nerve defect. Chin J Microsurg. 2014;37(5):449–52.Google Scholar
  16. Tao Z, Jun Z, Baozhan I. Mini titanium plate in multi finger replantation. Appl Pract Hand Surg. 2013;04:356–7.Google Scholar
  17. Teng X, Hong C, Sihong L. Application of microvascular stapler in free flap repair of upper limb tissue defects. Chin J Chin Surg. 2015;38(4):385–7.Google Scholar
  18. Xi ZX, Linquan Y, Hong M. Glutaraldehyde and deep hypothermia treatment of tendon transplantation for the repair of hand tendon defect. J Hepatopancreatobiliary Surg. 2003;26(4):305–6.Google Scholar
  19. Yu F, Meng XZ. Macro observation of tendon allograft for repairing tendon defect of hand effect. J Zhongshan Univ. 2004;25(z1):285–6.Google Scholar
  20. Yudong G. Basic concept and treatment principle of peripheral nerve defect. Chin J Hand Surg. 2002;18:129–30.Google Scholar
  21. Yudong G, Shuhuan W, Li D. Hand surgery. Shanghai: Fudan University Press; 2010. p. 6.Google Scholar
  22. Yun SL, Yuhui C, Fangliang Z, et al. Internal fixation with mini phalanx steel plate for finger replantation applications. J Pract Hand Surg. 2004;18:52–3.Google Scholar
  23. Yun SL, Fangliang Z, Tao X. Clinical comparison of three different internal fixation methods in finger replantation. Chin J Surg. 2005;21(4):205–6.Google 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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