Digital replantation in children.
This article reports a series of 21 cases of digital replantation in children between 14 months and 10 years of age (mean age, 3 1/2 years) who had a total of 32 digits traumatically amputated. The amputation levels were proximal phalanx in 15 digits, proximal interphalangeal joint in 3 digits, middle phalanx in 3 digits, and distal interphalangeal joint in 11 digits. All but one digit survived after replantation, for an overall survival rate of 96.6%. The longest ischemic time was 28 hours. Several technical points related to the success of this series of cases are discussed in detail.
D000059:Accidents; D000673:Amputation, Traumatic / Q000601:surgery; D000768:Anesthesia, General / Q000379:methods; D001158:Arteries / Q000601:surgery; D002648:Child; D002675:Child, Preschool; D003646:Debridement; D005260:Female; D005383:Finger Injuries / Q000601:surgery; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007511:Ischemia / Q000209:etiology; D008297:Male; D011183:Postoperative Complications; D012092:Replantation / Q000379:methods*; D013927:Thrombosis / Q000209:etiology; D013997:Time Factors; D014680:Veins / Q000601:surgery