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Distal phalanx replantation

✍ Scribed by Chien-Tzung Chen; Fu-Chan Wei; Hung-Chi Chen; Chwei-Chin Chuang; Hung-Tang Chen; Wen-Ming Hsu

Publisher: John Wiley and Sons
Year: 1994
Tongue: English
Weight: 676 KB
Volume: 15
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920150118

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Microsurgical replantation has been attempted in the distal phalanx of the digits. Twenty‐three complete, single digit amputations are reviewed. The patients' ages ranged from 9 months to 48 years. Viability was 78%. Sensory recovery averaged 7 mm static two‐point discrimination. Range of motion in the distal interphalangeal joint of the finger and the interphalangeal joint of the thumb averaged 64 and 51 degrees, respectively. Eight of the 17 successfully replanted digits had mild to moderate atrophy. Eighty‐two percent of patients were able to use the replanted digit successfully in their daily work. We feel that distal digital replantation is rewarding. In successful cases, it always preserves acceptable function and good appearance at a price of an average of 2.3 months off work. © 1994 Wiley‐Liss, Inc.

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