What is Replantation Surgery?
"Replantation" refers to the surgical reattachment of an amputated part. This requires microsurgery to re-establish circulation in the amputated part. Fingers are commonly amputated as they are exposed.
How is the procedure done?
This procedure is done in specialist centers where a team of surgeons capable of microsurgery are available. It is important that the amputated part is preserved correctly on the way from the site of the accident to the hospital. Prior to replantation, an assessment of the patient for a long surgery and assessment of the amputated part for the suitability for replantation is done. The key steps for digital replantation include fixation of the bone, repair of the tendons and microvascular repair of the arteries, veins and nerves. On the average, replantation of a single digit can take 4-6 hours.
What kind of recovery can I expect
Functional recovery in terms of sensory recovery, active range of motion, and cosmesis are important aspects of successful replantation after viability has been achieved by accurate microvascular anastomosis. In the long term, a good nerve and strong tendon repair with stable skeletal fixation without violation of the skin or joint will ensure a good outcome. Ischaemic time is also crucial and has to be kept in check.
The patient has the most important role in the recovery process. Good circulation has to be maintained to aid recovery. At the same time, younger patients have a better chance at regrowing their nerves and regaining their feelings and movement in the replanted part.
This information provided is meant purely for educational purposes and may not be used as a substitute for medical diagnosis or treatment. You should seek the advice of your doctor or qualified healthcare provider before starting any treatment or if you have any questions related to your health, physical fitness or medical conditions.
Hand & Reconstructive Microsurgery Center