Microvascular digit transposition following a two-digit amputation in an infant.
Multiple digit amputations in children demand special consideration to make subsequent hand function optimal. Replanted digits in children have a comparatively lower viability rate, but those that do survive usually go on to excellent function. In this case, an amputated thumb was severely mangled and not suitable for replantation. An amputated index finger was transposed to the thumb position. A six-month postoperative follow-up of the transposed digit confirmed satisfactory joint motion, restored sensibility, and unimpaired digit growth. The 11-month-old infant described is the youngest patient ever reported to have undergone a successful emergency microvascular digit transposition.
Baker
G L
GL
Christine M. Kleinert Institute for Hand and Micro Surgery, University of Louisville School of Medicine, Kentucky.
Kleinert
J M
JM
D000673:Amputation, Traumatic / Q000534:rehabilitation / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D005383:Finger Injuries / Q000534:rehabilitation / Q000601:surgery*; D005384:Finger Joint / Q000503:physiopathology / Q000601:surgery; D005385:Fingers / Q000098:blood supply / Q000503:physiopathology / Q000637:transplantation*; D006801:Humans; D007223:Infant; D008297:Male; D008866:Microsurgery / Q000379:methods; D009068:Movement / Q000502:physiology; D012092:Replantation / Q000379:methods*; D013536:Suture Techniques; D013709:Tendon Transfer / Q000379:methods; D013710:Tendons / Q000601:surgery; D013933:Thumb / Q000098:blood supply / Q000293:injuries* / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods