[Fingertip replantation after amputation: report of 32 fingers].
OBJECTIVE
To describe the surgical techniques and our experiences in fingertip replantation after amputation.


METHODS
On the basis of examination of the anatomic features and the degree of fingertip vascular injury, 32 amputated fingertips in 26 cases were replanted, and flexible revascularization procedures of both artery and vein anastomoses, artery-only anastomosis, arterialized vein and arteriovenous anastomosis were adopted. All the replanted fingertips were trained with comprehensive rehabilitation program.


RESULTS
Twenty-nine replanted fingertips survived but 3 failed, and the overall survival rate was 90.06%. During the follow-up lasting from 4 months to 5 years, the 29 replanted fingertips survived with excellent blood supply, good sensory functions, satisfactory shape and functions according to the criteria by Society of Hand Surgery of Chinese Medical Association.


CONCLUSIONS
Fingertip replantation after amputation can achieve not only high survival rate but also satisfactory appearance and functions as long as appropriate operative procedures are adopted with comprehensive rehabilitation therapy.
Department of Orthopedics and Traumatology of PLA, Nanfang Hospital, First Military Medical University, Guangzhou 510515, China. rgaoh@163.com
Gao-hong
GH
Ren
Guo-xian
GX
Pei
Li-qiang
LQ
Gu
Gang
G
Guo
D000293:Adolescent; D000328:Adult; D000671:Amputation, Surgical; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006085:Graft Survival; D006801:Humans; D008297:Male; D008875:Middle Aged; D020127:Recovery of Function; D012092:Replantation