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Fingertip replantation at or beyond the nail base in children
Author(s) -
Shi Dehai,
Qi Jian,
Li Donghui,
Zhu Lei,
Jin Wentao,
Cai Daozhang
Publication year - 2010
Publication title -
microsurgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.031
H-Index - 63
eISSN - 1098-2752
pISSN - 0738-1085
DOI - 10.1002/micr.20743
Subject(s) - replantation , medicine , surgery , nail (fastener) , digital nerve , amputation , revascularization , numerical digit , microsurgery , digital artery , anatomy , dorsum , materials science , arithmetic , mathematics , psychiatry , myocardial infarction , metallurgy
Although success of digital replantations in children has been reported by many authors, the very distal fingertip replantation remains technically demanding. The aim of this article is to review our experience with fingertip replantations at or distal to the nail base in pediatric patients and evaluate the clinical outcomes. From October 2000 to May 2007, 12 pediatric fingertips amputated at or distal to the nail base were replanted. Only one artery was anastomosed for revascularization with or without nerve repair; vein drainage was provided by the controlled bleeding technique. Eleven of the 12 replants (91%) survived; one replant of crushed digit failed. An average of 26 month (range, 6 to 36 months) follow‐up revealed excellent restoration of finger motion and appearance. The regained static 2‐point discrimination (S2PD) sensation was from 3.2 to 5.0 mm (mean, 4.2 mm). Both the parents and the children were satisfied with the final results. In conclusion, fingertip replantation in children allows good functional and esthetical recovery and should be attempted if technically feasible. © 2010 Wiley‐Liss, Inc. Microsurgery 30:380–385, 2010.