Expertise
REPLANTATION OF THE AMPUTATED PARTS
Replantation refers to the surgical reattachment of a body part (such as a finger, hand, or toe) that has been completely cut from the body. The goal of replantation surgery is to reattach and restore function to as much of the injured part as possible.
Avulsion Amputation of Thumb
How to bring the amputated part?
- The cut part should be placed in a clean plastic bag
- It should be placed in a container with the ice, such that the ice should not be in direct contact with the part
Factors that determine the success.
Type of the injury.
- Clean cut injury has good prognosis
- Time delay between the injury and restoration of vascularity
- Cold ischemia time
Case History
48 years old female presented with the avulsion amputation of left thumb while working in a spinning mill.
After initial evaluation, the amputated part was examined under operating microscope.
After identifying the proximal vessels for anastomosis, the amputated part was fixed to the stump with k wire, and the digital vessels were anastomosed using 10-0 ethilon under operating microscope.
Postoperative period was uneventful.
K wire removed at the end of 8 weeks and mobilisation of thumb initiated.