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Replantation in children

✍ Scribed by John S. Taras; James A. Nunley; James R. Urbaniak; Richard D. Goldner; Robert D. Fitch

Publisher: John Wiley and Sons
Year: 1991
Tongue: English
Weight: 514 KB
Volume: 12
Category: Article
ISSN: 0738-1085
DOI: 10.1002/micr.1920120311

No coin nor oath required. For personal study only.

✦ Synopsis

The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possible replantation. Replantation should consist of minimal bone shortening to preserve epiphyseal plates, with repair of all severed structures. Longitudinal K-wires usually provide adequate fixation. Our survival rate for complete replantation in children under the age of 16 years is 77%. Long-term study showed that continued skeletal growth occurred and the digit attained 81% of normal longitudinal length at maturity. Recovery of sensibility in the replanted digit is nearly as good as for isolated digital nerve repair. Patient and parent satisfaction is high when replantation is successful, with uniform approval of the extensive effort required.

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