Finger Replantation in Children.
- Author:
Joo Sung KIM
1
;
Young Ho LEE
;
Jun Seo NAM
;
Goo Hyun BAEK
;
Moon Sang CHUNG
Author Information
1. Department of Orthopedic Surgery, Taegu Hyundae Hospital, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Children;
Digit;
Replantation
- MeSH:
Age Distribution;
Amputation;
Arteries;
Child*;
Fingers*;
Hemorrhage;
Humans;
Replantation*;
Sutures;
Transplants;
Veins
- From:The Journal of the Korean Orthopaedic Association
2001;36(6):513-517
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: The success rate for the replantation of an amputated digit in children is low. It demands precise anastomosis of vessels and nerves and expert technique. This paper reports upon cases of digital replantation in children. MATERIALS AND METHODS: From April 1994 to December 1999, 34 amputated digits of 30 patients were replanted. According to the age distribution, there were 18 children under 5 years of age, 5 between 6 and 10, and 7 between 11 and 15. Guillotine type of amputation was dominant and 19 cases were at zone I. End to end anastomosis of the digital artery and dorsal vein, vein graft, and the external bleeding method and epineurial suture were performed. RESULTS: The overall success rate was 88.2%, in zone I 16/19 cases, in zone II 10/11 cases and zone III 4/4 cases. CONCLUSION: The rate of survival of the amputated part in children was 88.2%. Although it is difficult to perform anastomosis of small vessels, postoperative physical therapy and the external bleeding method, digital replantation in children is recommended, when feasible, in order to prevent functional and growth disturbances for cosmetic reasons.
