Fingertip replantations

Clinical evaluation of 135 digits

Woo-Kyung Kim, Jae Ho Lim, Seung-Kyu Han

Research output: Contribution to journalArticle

92 Citations (Scopus)

Abstract

From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base or zone 11 for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long- term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).

Original languageEnglish
Pages (from-to)470-476
Number of pages7
JournalPlastic and Reconstructive Surgery
Volume98
Issue number3
DOIs
Publication statusPublished - 1996 Jan 1

Fingerprint

Replantation
Amputation
Veins
Soft Tissue Injuries
Survival Rate
Nails
Arteries
Joints
Transplants
Social Values
Tissue Survival
Korea
Patient Satisfaction
Blood Vessels
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Fingertip replantations : Clinical evaluation of 135 digits. / Kim, Woo-Kyung; Lim, Jae Ho; Han, Seung-Kyu.

In: Plastic and Reconstructive Surgery, Vol. 98, No. 3, 01.01.1996, p. 470-476.

Research output: Contribution to journalArticle

Kim, Woo-Kyung ; Lim, Jae Ho ; Han, Seung-Kyu. / Fingertip replantations : Clinical evaluation of 135 digits. In: Plastic and Reconstructive Surgery. 1996 ; Vol. 98, No. 3. pp. 470-476.
@article{ad10b4069a2c4de1acb27790b00e85b7,
title = "Fingertip replantations: Clinical evaluation of 135 digits",
abstract = "From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base or zone 11 for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long- term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).",
author = "Woo-Kyung Kim and Lim, {Jae Ho} and Seung-Kyu Han",
year = "1996",
month = "1",
day = "1",
doi = "10.1097/00006534-199609000-00017",
language = "English",
volume = "98",
pages = "470--476",
journal = "Plastic and Reconstructive Surgery",
issn = "0032-1052",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Fingertip replantations

T2 - Clinical evaluation of 135 digits

AU - Kim, Woo-Kyung

AU - Lim, Jae Ho

AU - Han, Seung-Kyu

PY - 1996/1/1

Y1 - 1996/1/1

N2 - From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base or zone 11 for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long- term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).

AB - From July 1985 to February 1993, 135 digits in 119 patients with complete amputations at or distal to the distal interphalangeal joint (zone I for amputations distal to the nail base or zone 11 for amputations between the distal interphalangeal joint and the nail base) were replanted using a microsurgical technique at Korea University Guro Hospital. Because of the high social value placed on body form and function, the indication for replantation was extended to cases with severe soft-tissue injuries and attempted replantation as a routine procedure in nearly all distal amputation cases. The overall survival rate was 78 percent, with the survival rate for zone I being 70 percent and that for zone II reaching 86 percent. Even in cases with severe soft-tissue injury, the survival rate was high, with viability in avulsion injuries and crush injuries reaching 75 percent each. The most common type of vascular repair in zone I cases was revascularization of one artery only and no vein repair (87 percent). Of these cases, interpositional vein grafts were used in 65 percent. In zone II cases, the most common combination repair was one artery and one vein anastomosis (70 percent), with interpositional vein grafts for arterial anastomosis in 49 percent; most of the venous repair was feasible by the direct method (78 percent). The follow-up period ranged from 1 month to 5 years with a mean of 14.8 months; 52 patients were followed-up for more than 6 months. In 52 long- term follow-up patients, the average two-point discrimination was 8 mm. Patient satisfaction, aesthetically and functionally, was high (91 percent).

UR - http://www.scopus.com/inward/record.url?scp=0029775548&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0029775548&partnerID=8YFLogxK

U2 - 10.1097/00006534-199609000-00017

DO - 10.1097/00006534-199609000-00017

M3 - Article

VL - 98

SP - 470

EP - 476

JO - Plastic and Reconstructive Surgery

JF - Plastic and Reconstructive Surgery

SN - 0032-1052

IS - 3

ER -