Finger Tip Replantation

Journal of the Korean Society for Surgery of the Hand 2003;12(2):105-111.
Published online October 31, 2003.

Byeong Seon Kong M.D., Yong Jin Kim M.D.

수지 첨부 절단의 재접합술

공병선·김용진

Abstract

  It has been known that the vessels of the finger tip are very small and have many branches, so the anastomosis of this vessel is very difficult. But when this operation achieves success, the replanted finger tip provides adequate soft tissue, restoration of the length, sensory and nail. The authors describe the result of finger tip replantation in 94 patients, 103 finger tips, from October 1999 to June 2002. We performed the salvage procedure in all cases. The success rate of finger tip replantation was 74.8%. We achieved higher success rate, when we succeeded anastomosis of the central artery. The function of the replanted fingers was good. The average TAM was 80% and patient satisfaction was high. We belive that we can achieve higher success rate by anastomosing central artery and performing delicate salvage procedure.

Key Words: Finger Tip, Replantation