title: Defying standard criteria for digital replantation: A case series.
abstract: BACKGROUND
  There is much controversy regarding the current indications and contraindications for digital replantation.
  
  
  METHODS
  Three patients with absolute contraindications for digital replantation according to classical criteria are presented (Case 1: multilevel amputation of the hand and fingers; Case 3: avulsion of the thumb; Case 4: index amputation proximal to the insertion of the flexor digitorum superficialis). In addition a patient with a very distal digital amputation (Case 2), whose indication for replantation is controversial is also presented. In all cases, the patients were replanted and showed good functional and aesthetical results.
  
  
  CONCLUSIONS
  Most authors advocate that the classical indications for replantation have been validated by experience, are predicated on the potential for long-term function, and should be followed in most if not all cases. However, some surgeons have been adopting a more liberal attitude with good results.
  
  
  CONCLUSIONS
  The clinical cases presented in this paper suggest that the standard criteria for digital replantation should not be followed rigidly but instead should be regarded as a general guide.
authors.affiliation: Department of Plastic and Reconstructive Surgery and Burn Unit, São José Hospital, Lisbon, Portugal; Lisbon Medical Sciences Faculty, Portugal. Electronic address: diogo_bogalhao@yahoo.co.uk.
authors.forename: Diogo
authors.initials: D
authors.lastname: Casal
authors.forename: Manuel Macemino
authors.initials: MM
authors.lastname: Gomez
authors.forename: Paula
authors.initials: P
authors.lastname: Antunes
authors.forename: Henrique
authors.initials: H
authors.lastname: Candeias
authors.forename: Maria Angélica
authors.initials: MA
authors.lastname: Almeida