We report a case of a hand replantation. A 43-year-old male presented with an amputated right hand. After clinical and radiological examination of the amputated hand and the forearm stump, the patient was consented for hand replantation procedure. Both bones of the forearm were fixed using K-wires. Careful dissection, trimming and repair of the tendons, vessels (two arteries and one vein) and n...

INTRODUCTION Modified, reversal technique of fixation in digital replantation using K-wires was analyzed. The results obtained from the standard technique and reversal technique of fixation using K-wires were compared. OBJECTIVE The aim was to compare the results of osteofixation using K-wires in digital replantation when either standard or reversal, modified technique was used. METHODS A r...

Cooling of amputated parts during transportation delays the onset of ischaemic tissue damage and contributes to successful replantation. The most common error in preservation of amputated parts is exposing them to temperatures, which may cause cold injury, and thus render them unusable. Two case reports will be presented, which illustrate how freezing cold injury (FCI) of amputated digits may d...

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We present a case of successful artery only total nose replantation in an 18-month-old child, with 10 years of follow-up and full sensory recovery despite no nerve repair. The common absence of veins for anastomosis does not prevent successful replant, as demonstrated with the use of Hirudo medicinalis use in this unique case. We comprehensively review the literature of this rare and complex in...

Total scalp avulsion is a rare but potentially devastating injury that when treated (following a few basic principles) can have very good reconstructive results. The present article reviews the current literature and describes the steps involved in the successful replantation of a complete avulsed scalp of a 33-year-old woman. To the authors' knowledge, the present case regarding replantation o...

Although replantation of fingertip is technically possible, advances in microsurgery have made salvage of amputated fingers a commonly performed procedure. In the present study, we aimed to evaluate the functional outcomes after retrograde (RAA) versus antegrade (AAA) palm arteriovenous anastomosis in the distal fingertip replantation. The results showed that survival rate, appearance and digit...

Since the introduction of microsurgical technique over 40 years ago, replantation of the upper extremity has been performed throughout the world with regularity. Instead of focusing solely on survival of the replanted parts, hand surgeons are more aware of the functional, health-related quality of life and economic issues associated with this complex procedure. Derived from several decades of e...

This study reports successful finger replantation in a patient with a dorsal oblique fingertip amputation. When repairing this unique type of injury, an evaluation of the remaining vessels is more useful for successful replantation than the anatomical zone classification. We propose that Kasai's classification is appropriate for guiding treatment.