Successful Replantation Despite Improper Storage of Amputated Thumb: A Case Report
https://doi.org/10.5704/MOJ.2203.019
- Author:
Gunasagaran J
1
;
Tan YY
1
;
Ahmad TS
1
Author Information
1. NOCERAL, Department of Orthopaedic Surgery, Universiti Malaya, Kuala Lumpur, Malaysia
- Publication Type:Journal Article
- Keywords:
digit replantation, improper storage, contact on ice, immersion in water, case report
- From:Malaysian Orthopaedic Journal
2022;16(No.1):122-125
- CountryMalaysia
- Language:English
-
Abstract:
Replantation of fingers is highly complex and technically
challenging. Surgeons are serious with their selection criteria
as many factors are involved in determining good surgical
outcome. Improper storages of amputated parts are usually
denied the option for replantation. We report a 42-year-old
lady who was assaulted with a machete and presented with
total amputation of left thumb. The amputated thumb was
stored in a plastic bag directly on ice cubes which eventually
melted; thumb immersed in water for two hours. On
examination, the amputated thumb was neither macerated
nor frozen. Replantation was attempted and was successful.
There are limited reports on proper methods of storage of
amputated fingers pertaining to daily practical scenario. Yet,
it is a strict criterion for surgeons in attempting replantation.
Direct contact of amputated fingers on ice and immersion in
hypotonic solutions leads to irreversible tissue damage. In
our case, two hours of unfavourable storage did not affect
surgical outcome. In conclusion, clinical assessment of the
amputated part is essential in deciding for replantation.
Combination of direct contact with ice and immersion in
hypotonic solution for two hours should not be a
contraindication for replantation.
- Full text:16.2022my1236.pdf
