Semin Plast Surg 2013; 27(04): 165-173
DOI: 10.1055/s-0033-1360583
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Challenges in Fingertip Replantation

Jin-Soo Kim
1   Department of Plastic and Reconstructive Surgery, Hand and Microsurgery Center, Kwang-Myeong Sung-Ae General Hospital, Gyeong-Gi-Do, Korea
,
Jae-Won Yang
1   Department of Plastic and Reconstructive Surgery, Hand and Microsurgery Center, Kwang-Myeong Sung-Ae General Hospital, Gyeong-Gi-Do, Korea
,
Dong-Chul Lee
1   Department of Plastic and Reconstructive Surgery, Hand and Microsurgery Center, Kwang-Myeong Sung-Ae General Hospital, Gyeong-Gi-Do, Korea
,
Sae-Hwi Ki
2   Department of Plastic Surgery, Inha University School of Medicine, Incheon, Korea
,
Si-Young Roh
1   Department of Plastic and Reconstructive Surgery, Hand and Microsurgery Center, Kwang-Myeong Sung-Ae General Hospital, Gyeong-Gi-Do, Korea
› Author Affiliations
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Publication History

Publication Date:
27 November 2013 (online)

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Abstract

Fingertip amputation is a challenging injury to manage. Among various reconstructive procedures, replantation results in superior outcome, but is seldom considered in many institutions. From the identification of vessel ends to reanastomosis of the submillimeter vessels, fingertip's highly specialized anatomy requires technical excellence. By addressing these anatomic challenges, fingertip replantation can be a routine reconstructive option for microvascular surgeons.