Replantation of the Frostbitten Amputated Digits and Eventful Postoperative Course: Case Report

Very little is written about replantation of frostbitten amputated parts due to exposure to very low temperature for extended periods. In this case report the amputated parts were placed directly on an ice pack and exposed the cold during transportation. This caused frostbite of the amputated parts. The replantation of frostbitten amputated digits was performed successfully but the postoperative course was eventful in which it was similar to that of frostbite injury including delayed dermal circulation and late vascular compromise. When these clinical manifestations were encountered frostbite treatment were applied to the digits and surgical debridement was reserved for late period. On long term followup both fingers were viable but resulting in partial tip tissue losses. In this case report author present replantation of frostbitten amputated digits, treatment approach and discuss the possible mechanism that cause eventful postoperative course.