Replantation of long fingers

U.A. Kurbanov, A.A. Davlatov, S.M. Djanobilova

Republican Scientific Center of Cardiovascular Surgery, MH RT
Chair of surgical diseases №2 Avicenna TSMU

In article analyzed 786 patients with traumatic amputation of long fingers with frequency of replantation and revascularization 40.4%. The frequency of replantation mainly depended on mechanism of amputation, and it ranged from 19.8% in severe combined forms of amputation to 79.1% at guillotin form.

Results of replanted fingers’ survive depended on many factors, dominating of which was surgeon’s experience, and depending on this results of a survival rate ranged from 41.6% to 85.4%. Frequency of survive after replantation and revascularization in children was slightly lower (71.6%) than in adults (77.1%). Overall, the results of survive in replantation and revascularization fingers reached 75.1%.

Early postoperative complications noted in 31% of cases. Repeated surgical interventions were performed in 52% of cases and were effective only in 37% of cases. Causes of complications that led to necrosis of 110 (24.9%) fingers were tactical and technical errors (78%), serious violations of the amputated segments’ conservation rules (10.2%) and wound infection(11.8%).

The long-term results of 210 segments from 369, successfully replanted in 148 patients for period of 6 months to 15 years after replantation were studied. Among 63 replanted fingers in isolated long finger amputations in remote time good to excellent functional results we observed in 26 (41.3%) cases. From 127 studied cases of successful replantation in multiple long fingers amputations excellent and good results were received in 61.4% of cases. Replantation at the distal segments of fingers, as opposed to a more proximal replantation levels always achieve optimal functional and aesthetic results.

Keywords: microsurgery, replantation, fingers.

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