Download PDF
Handchir Mikrochir Plast Chir 2023; 55(05): 382-387
DOI: 10.1055/a-1992-5755
Übersichtsarbeit

Erfolgreiche mikrochirurgische Replantation einer vollständig amputierten, in Eis gefrorenen Fingerpulpa: Fallbericht und Literaturübersicht

Successful microsurgical Replantation of a completely amputated Finger Pulp frozen in Ice: Case Report and Literature Review
Dorrit Winterholer
1   Klinik für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Luzern, Switzerland
,
Elmar Fritsche
1   Klinik für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Luzern, Switzerland
,
Elif Kulakli
1   Klinik für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Luzern, Switzerland
,
Thomas Giesen
1   Klinik für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Luzern, Switzerland
› Author Affiliations
› Further Information
Also available at
    Permissions and Reprints

Zusammenfassung

Die mikrochirurgische Replantation von falsch asservierten und für den Transport nicht korrekt gelagerten Amputaten wird gemeinhin als unmöglich und ohne Aussicht auf Erfolg beurteilt. Dies gilt insbesondere für Amputate, welche einen Kälteschaden durch längeres Gefrieren des Gewebes aufweisen. Wir stellen einen Fall vor, bei dem es gelang, eine amputierte Fingerpulpa, die in Eis vollständig gefroren war, erfolgreich zu replantieren. Wir geben eine Übersicht über die Literatur zum Thema der falschen Asservierung von Amputaten und deren negativen Effekten auf Erfolgsaussichten zur Replantation.

Abstract

The microsurgical replantation of incorrectly stored and transported amputates is generally considered impossible and without prospects of success. In particular, this applies to amputates that show cold damage due to the freezing of tissue. We present a case of successful replantation of an amputated finger pulp frozen in ice. We provide an overview of the literature on the subject of incorrect storage of amputates and the prospects of success for replantation.

Schlüsselwörter

Kälteschaden - Amputatlagerung - Replantation 

Key words

cold damage - amputate storage - replantation


Publication History

Received: 13 September 2022

Accepted: 25 November 2022

Article published online:
25 January 2023

© 2023. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Ma Z, Guo F, Qi J. et al. Effects of non-surgical factors on digital replantation survival rate: a meta-analysis. J Hand Surg Eur Vol 2016; 41: 157-163
    CrossrefPubMedSearch in Google Scholar
  • 2 Yu H, Wei L, Liang B. et al. Nonsurgical factors of digital replantation and survival rate: A metaanalysis. Indian J Orthop 2015; 49: 265-271
    CrossrefPubMedSearch in Google Scholar
  • 3 Partlin MM, Chen J, Holdgate A. The preoperative preservation of amputated digits: an assessment of proposed methods. J Trauma 2008; 65: 127-131
    CrossrefPubMedSearch in Google Scholar
  • 4 Yoshimura M. Indications and limits of digital replantation. JMAJ 2003; 46: 460-467
    PubMedSearch in Google Scholar
  • 5 Brunelli GA, Brunelli GR. Tissue changes at different periods of ischemia. Int Angiol 1995; 14: 253-263
    PubMedSearch in Google Scholar
  • 6 Hayhurst JW, O’Brien BM, Ishida H. et al. Experimental digital replantation after prolonged cooling. Hand 1974; 6: 134-141
    CrossrefPubMedSearch in Google Scholar
  • 7 Wei FC, Chang YL, Chen HC. et al. Three successful digital replantations in a patient after 84, 86, and 94 hours of cold ischemia time. Plast Reconstr Surg 1988; 82: 346-350
    CrossrefPubMedSearch in Google Scholar
  • 8 Research Laboratory for Replantation of Severed Limbs Shanghai Sixth People’s Hospital Replantation of severed limbs and fingers. Chin Med J 1973; 86: 1-2
    CrossrefPubMedSearch in Google Scholar
  • 9 Allen FM. Resistance of peripheral tissues to asphyxia at various temperatures. Surg., Gyn. and Obst 1938; 67: 746-751
    PubMedSearch in Google Scholar
  • 10 VanGiesen PJ, Seaber AV, Urbaniak JR. Storage of amputated parts prior to replantation – an experimental study with rabbit ears. J Hand Surg Am 1983; 8: 60-65
    CrossrefPubMedSearch in Google Scholar
  • 11 Ahčan U, Arnež ZM, Trpin E. et al. Incorrect Preservation of amputated digits. Zdrav Vestn 2004; 73: 649-655
    PubMedSearch in Google Scholar
  • 12 Gunasagaran J, Tan YY, Ahmad TS. Successful replantation despite improper storage of amputated thumb: A case report. Malays Orthop J 2022; 16: 122-125
    CrossrefPubMedSearch in Google Scholar
  • 13 Crowe CS, Tolley PD, Mauch JT. et al. Management of artery-only digit replantation: A systematic review of the literature. Plast Reconstr Surg 2022; 150: 105-116
    CrossrefPubMedSearch in Google Scholar
  • 14 Kayalar M, Güntürk ÖB, Gürbüz Y. et al. Survival and comparison of external bleeding methods in artery-only distal finger replantations. J Hand Surg Am 2020; 45: 256.e1-256.e6
    CrossrefPubMedSearch in Google Scholar
  • 15 Hoffmann R. Checkliste Handchirurgie. 4. Auflage. Stuttgart-New York: Thieme; 2016
    Search in Google Scholar
  • 16 Bühren V, Keel M, Marzi I. Checkliste Traumatologie. 8. Auflage.. Stuttgart-New York: Thieme; 2016
    Search in Google Scholar
  • 17 BDC Berufsverband der Deutschen Chirurgen e.V. Safety Clip: Sicherstellung und richtige Lagerung von Amputaten. https://www.bdc.de/safety-clip-sicherstellung-und-richtige-lagerung-vonamputaten
    PubMed
  • 18 Dvořák Z, Stupka I. Atypical replantation and reconstruction of frozen ear: A case report. Medicine (Baltimore) 2020; 99: e20068
    CrossrefPubMedSearch in Google Scholar
  • 19 Ahčan U, Luza B, Bajrovic F et al. Cold injury of amputated digits. In prevention of cold injuries. 2005 10-1-10-4. Meeting Proceedings RTO-MP-HFM-126
    PubMed
  • 20 Sapega AA, Heppenstall RB, Sokolow DP. et al. The bioenergetics of preservation of limbs before replantation. The rationale for intermediate hypothermia. J Bone Joint Surg Am. 1988; 70: 1500-1513
    CrossrefPubMedSearch in Google Scholar
  • 21 Weinrauch V, Safar P, Tisherman S. et al. Beneficial effect of mild hypothermia and detrimental effect of deep hypothermia after cardiac arrest in dogs. Stroke 1992; 23: 1454-1462
    CrossrefPubMedSearch in Google Scholar
  • 22 Pegg DE. Mechanisms of freezing damage. Symp Soc Exp Biol. 1987; 41: 363-378
    PubMedSearch in Google Scholar
  • 23 Meryman HT. Mechanics of freezing in living cells and tissues. Science 1956; 124: 515-521
    CrossrefPubMedSearch in Google Scholar
  • 24 Dvořák Z, Kubek T, Novak P et al. Frozen amputated fingers-replantation and other treatments. Abstract book. 14th Triennieal Congress of the International Federation of Societies für Surgery of the Hand. 10.3205/19ifssh0489, urn:nbn:de:0183-19ifssh04898
    PubMed
  • 25 Hao L, Chen Ch, Wang Z. Frozen thumb replantation: cases report. 14th Triennieal Congress of the International Federation of Societies für Surgery of the Hand. Abstract book. P 457/1693. Intercongress GmbH. Freiburg
    PubMed
  • 26 Hernekamp J, Kneser U, Bickert B. Replantationen. Trauma Berufskrankh 2016; 18: 96-100
    CrossrefPubMedSearch in Google Scholar