Replantation of digits

Alternative Names: Revascularization of amputated digits; Reattachment of amputated fingers

Replantation of digits is surgery to reattach completely amputated fingers or toes.

Description of Procedure

This procedure is done using regional or general anesthesia. The ends of the bone may be shortened to remove tension on the repaired blood vessels. The surgeon places the finger or toe (called the "digit") in place and stabilizes the bone with wires or a plate and screws.

Tendons are repaired next, followed by nerves and blood vessels. Nerve and blood vessel repair are the most important step to the success of the procedure.

After all repairs are complete, the wound is closed and a bandage (called a bulky dressing) is applied. Young children may need to wear a cast to protect the area from injury.

If you have a partial (incomplete) amputation, part of the toe or finger stays attached to the body by skin, artery, vein, or nerve. In this case, a process called revascularization is used to reattach the finger or toe.

Risks of Replantation of digits

Risks for any anesthesia include the following:

• Reactions to medications
• Problems breathing

Risks for any surgery include the following:

• Bleeding
• Infection

Additional risks for this surgery include the following:

• Death of the replanted tissue
• Reduced nerve or movement function in the replanted digit
• Stiffness of the fingers

Amputated finger	Replantation of digits - series

Review Date: 7/28/2010
Reviewed By: Linda J. Vorvick, MD, Medical Director, MEDEX Northwest Division of Physician Assistant Studies, University of Washington, School of Medicine; C. Benjamin Ma, MD, Assistant Professor, Chief, Sports Medicine and Shoulder Service, UCSF Department of Orthopaedic Surgery. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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