title: Successful replantation in 10-digit complete amputations.
abstract: We report a case of successful replantation of 10-digit complete amputations. The conditions of the wounds over the ends of the 10 amputated digits are bound to vary; some are too severe to be replanted, while others may be light and easy for replantation. We reported a case of 10-digit complete amputations, with severe avulsion injuries over four fingers. Appropriate measures were taken during surgery, and the replanted digits all survived. The replantation operation was done by a team of surgeons, although the surgeons were physically challenged by the long and difficult procedures. However, it was the great pleasure of the surgeons to work hard and whole-heartedly for the benefit of the patient. Postoperative physiotherapy and exercises were done. After 6 months, the functions of both hands had been largely recovered. Complete amputations of 10 digits as a rule result in multiple complicated wounds. The replantation procedure for these conditions is not an easy endeavor because there are numerous blood vessels that need to be anastomosed, the time of the operation will be dreadfully long, and also there is the danger of the occurrence of vascular crises during the postoperative period. It is difficult to achieve successful survival of all 10 amputated digits after replantation.
authors.affiliation: Department of Hand Surgery, Beijing Ji Shui Tan Hospital, Beijing, People's Republic of China.
authors.forename: L
authors.initials: L
authors.lastname: Qing-tai
authors.forename: J Z
authors.initials: JZ
authors.lastname: Chang-qing
authors.forename: Y
authors.initials: Y
authors.lastname: Ke-fei
authors.forename: C
authors.initials: C
authors.lastname: Sha-ling
authors.forename: L
authors.initials: L
authors.lastname: Jan
authors.forename: L
authors.initials: L
authors.lastname: Zun-ying
mesh_terms: D000673:Amputation, Traumatic / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D012092:Replantation; D013933:Thumb / Q000293:injuries* / Q000601:surgery*