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Management of Complications After Replantation

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Extremity Replantation

Abstract

Complications after replantation can be classified into two categories: early and late. Early complications can result in total loss and failure of the replantation, while late complications can significantly impact function of the replanted segment. Early complications include infection, bleeding, and vascular crisis. Late complications include nonunion and malunion of bone, extremity/digit stiffness, and cold intolerance.

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References

  1. Chung KC, Alderman AK. Replantation of the upper extremity: indications and outcomes. J Am Soc Surg Hand. 2002;2:78–94.

    Article  Google Scholar 

  2. Morrison WA, McCombe D. Digital replantation. Hand Clin. 2007;23:1–12.

    Article  PubMed  Google Scholar 

  3. Goldner RD, Urbaniak JR, editors. Green’s operative hand surgery. Philadelphia: Elsevier/Churchil Livingstone; 2011. p. 355–89.

    Google Scholar 

  4. Beris AE, Lykissas MG, Korompilias AV, et al. Digit and hand replantation. Arch Orthop Trauma Surg. 2010;130:1141–7.

    Article  PubMed  Google Scholar 

  5. Chang J, Jones N. Twelve simple maneuvers to optimize digital replantation and revascularization. Tech Hand Up Extrem Surg. 2004;8:161–6.

    Article  PubMed  Google Scholar 

  6. Sukop A, Nanka O, Dusková M. Clinical anatomy of the dorsal venous network in fingers with regard to replantation. Clin Anat. 2007;20:77–81.

    Article  CAS  PubMed  Google Scholar 

  7. Glickman LT, Mackinnon SE. Sensory recovery following digital replantation. Microsurgery. 1990;11:236–42.

    Article  CAS  PubMed  Google Scholar 

  8. Davis Sears E, Chung KC. Replantation of finger avulsion injuries: a systematic review of survival and functional outcomes. J Hand Surg Am. 2011;36(4):686–94.

    Article  Google Scholar 

  9. Sebastin SJ, Chung KC. A systematic review of the outcomes of replantation of distal digital amputation. Plast Reconstr Surg. 2011;128:723–37.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Leung PC. An analysis of complications in digital replantations. Hand. 1980;12:25–32.

    Article  CAS  PubMed  Google Scholar 

  11. Wang H. Secondary surgery after digit replantation: its incidence and sequence. Microsurgery. 2002;22:57–61.

    Article  PubMed  Google Scholar 

  12. Yu JC, Shieh SJ, Lee JW, et al. Secondary procedures following digital replantation and revascularisation. Br J Plast Surg. 2003;56:125–8.

    Article  PubMed  Google Scholar 

  13. Matsuzaki H, Kouda H, Maniwa K. Secondary surgeries after digital replantations: a case series. Hand Surg. 2012;17:351–7.

    Article  PubMed  Google Scholar 

  14. Jupiter JB, Pess GM, Bour CJ. Results of flexor tendon tenolysis after replantation in the hand. J Hand Surg Am. 1989;14:35–44.

    Article  CAS  PubMed  Google Scholar 

  15. Lithell M, Backman C, Nyström A. Cold intolerance is not more common or disabling after digital replantation than after other treatment of compound digital injuries. Ann Plast Surg. 1998;40:256–9.

    Article  CAS  PubMed  Google Scholar 

  16. Dabernig J, Hart AM, Schwabegger AH, et al. Evaluation outcome of replanted digits using the DASH score: review of 38 patients. Int J Surg. 2006;4:30–6.

    Article  CAS  PubMed  Google Scholar 

  17. Adani R, Pataia E, Tarallo L, et al. Results of replantation of 33 ring avulsion amputations. J Hand Surg Am. 2013;38:947–56.

    Article  PubMed  Google Scholar 

  18. Cheng GL, Pan DD, Zhang NP, et al. Digital replantation in children: a long-term follow-up study. J Hand Surg Am. 1998;23:635–46.

    Article  CAS  PubMed  Google Scholar 

  19. Venkatramani H, Sabapathy SR. Fingertip replantation: technical considerations and outcome analysis of 24 consecutive fingertip replantations. Indian J Plast Surg. 2011;44:237–45.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  20. Backman C, Nyström A, Backman C, et al. Arterial spasticity and cold intolerance in relation to time after digital replantation. J Hand Surg Br. 1993;18:551–5.

    Article  CAS  PubMed  Google Scholar 

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Correspondence to Kevin C. Chung MD, MS .

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Yang, G., Chung, K.C. (2015). Management of Complications After Replantation. 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_13

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  • DOI: https://doi.org/10.1007/978-1-4899-7516-4_13

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  • Online ISBN: 978-1-4899-7516-4

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