In the 1970s, when the possibilities for replantation were relatively unexplored, this procedure was thought to be appropriate only for clean-cut, “guillotine-type” amputations. Within 5–10 years, however, many adventurous attempts accomplished the salvage of avulsed or mangled parts. More cautious surgeons objected, citing poor ultimate function following such injuries. Uncertainty and controversy abounded, and the distinction between the kind of injuries that should be replanted and those that should be amputated was unclear. Eventually, many replantation centers generated reports of large series of patients, and these reports began to clarify the indications for replantation (Chow et al. 1979, May et al. 1982, O’Brien et al. 1974, Tamai 1982, Urbaniak et al. 1985, Weiland et al. 1977). While these indications continue to evolve and do depend partly on the experience, skill, and opinion of the surgeon, each injury can be analyzed with regard to some basic prognostic features.


Vein Graft Interphalangeal Joint Extensor Tendon Nerve Repair Flexor Digitorum Superficialis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag New York Inc. 1988

Authors and Affiliations

  • Leonard Gordon
    • 1
    • 2
    • 3
    • 4
    • 5
  1. 1.Department of AnatomyUniversity of CaliforniaSan FranciscoUSA
  2. 2.Hand and Microsurgery Service, Department of Orthopaedic SurgeryUniversity of CaliforniaSan FranciscoUSA
  3. 3.Mt. Zion Hospital Medical CenterUSA
  4. 4.Oak Knoll Naval BaseUSA
  5. 5.Letterman Army Medical CenterUSA

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