Skip to main content

Replantation in the Child and Adolescent

  • Chapter
  • First Online:
  • 1129 Accesses

Abstract

Amputations in children are fortunately relatively rare events. However, when they occur, they are emotionally devastating injuries for the child, their family, and the health-care providers. The technical aspects of the replantation procedure in a child are almost analogous to that of in an adult, with the exception that the physis should be preserved. Due to improved healing potential and nerve regeneration with less scar formation, the outcomes of pediatric replantation are more favorable than in adults.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   109.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Squitieri L, Reichert H, Kim HM, Steggerda J, Chung KC. Patterns of surgical care and health disparities of treating pediatric finger amputation injuries in the United States. J Am Coll Surg. 2011;213:475–85.

    Article  PubMed  Google Scholar 

  2. Galway HR, Hubbarb S, Mowbray M. Traumatic amputations in children. In: Kostvik JP, editor. Amputation surgery and rehabilitation – the Toronto experience. Edinburgh: Churchill Livingstone; 1981.

    Google Scholar 

  3. Jaeger SH, Tsai TM, Kleinert HE. Upper extremity replantation in children. Orthop Clin North Am. 1981;12:897–907.

    CAS  PubMed  Google Scholar 

  4. Carman C, Chang B. Treadmill injuries to the upper extremity in pediatric patients. Ann Plast Surg. 2011;46:15–9.

    Google Scholar 

  5. Benson LS, Waters PM, Meier SW, Visotsky JL, Williams CS. Pediatric hand injuries due to home exercycles. J Ped Orthop. 2000;20:34–9.

    CAS  Google Scholar 

  6. Duteille F, Lim A, Dautel G. Free flap coverage of upper and lower limb tissue defects in children: a series of 22 patients. Ann Plast Surg. 2003;50:344–9.

    Article  PubMed  Google Scholar 

  7. Van Beek AL, Wavak PW, Zook EG. Microvascular surgery in young children. Plast Reconstr Surg. 1979;63:457–62.

    Article  PubMed  Google Scholar 

  8. O’Brien BM, Franklin JD, Morrison WA, et al. Replantation and revascularization surgery in children. Hand. 1980;12:12.

    Article  Google Scholar 

  9. Berger A, Meissl G, Walzer L. Techniques and results in replantation surgery in children. Int J Microsurg. 1981;3:9.

    Google Scholar 

  10. Boyer MI, Mih AD. Microvascular surgery in the reconstruction of congenital hand anomalies. Hand Clin. 1998;14:135–42.

    CAS  PubMed  Google Scholar 

  11. Baker GL, Kleinert JM. Digit replantation in infants and young children: determinants of survival. Plast Reconstr Surg. 1994;94:139–45.

    Article  CAS  PubMed  Google Scholar 

  12. Heisten JB, Cook PA. Factors affecting composite graft survival in digital tip amputations. Ann Plast Surg. 2003;50:299–303.

    Article  Google Scholar 

  13. Shi D, Qi J, Li D, Zhu L, Jin W, Cai D. Fingertip replantation at or beyond the nail base in children. Microsurgery. 2010;30:380–5.

    PubMed  Google Scholar 

  14. Beris AE, Soucacos PN, Malizos KN, et al. Major limb replantation in children. Microsurgery. 1994;15:474–8.

    Article  CAS  PubMed  Google Scholar 

  15. Wang S, Young K, Wei J. Replantation of severed limbs – clinical analysis of 91 cases. J Hand Surg Am. 1981;6:311–8.

    Article  CAS  PubMed  Google Scholar 

  16. Cheng GL, Pan DD, Zhang NP, Fang GR. Digital replantation in children: a long-term follow-up study. J Hand Surg Am. 1998;23(4):635–46.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Joshua M. Abzug MD .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2015 Springer Science+Business Media New York

About this chapter

Cite this chapter

Abzug, J.M., Kozin, S.H., Zlotolow, D.A. (2015). Replantation in the Child and Adolescent. In: Salyapongse, A., Poore, S., Afifi, A., Bentz, M. (eds) Extremity Replantation. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7516-4_11

Download citation

  • DOI: https://doi.org/10.1007/978-1-4899-7516-4_11

  • Published:

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7515-7

  • Online ISBN: 978-1-4899-7516-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics