Distal fingertip replantation: indications, strategy and postoperative management.

Venkatramani, Hari; Roberto, Adani; Safa, Bauback; Chen, Chao; Lee, Dong Chul; Chen, Jing · J Hand Surg Eur Vol · 2024

expert_opinion · Level V

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Abstract

Distal fingertip replantation is associated with being a technically demanding procedure and dubious outcomes, although it is now performed more frequently across the world. However, the technique and outcomes remain controversial with disagreement among replantation surgeons due to lack of consensus about the indications, intraoperative strategy and postoperative regimes. In this article, we asked six experienced hand surgeons several pertinent questions that every replantation surgeon performing distal fingertip replantation would face in their clinical practice. The article summarizes their responses, which might provide valuable insight to every replantation surgeon in different parts of their career while managing these injuries.

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