A Technique for Simultaneous Replantation of Multiple Amputated Digits at Tamaiʼs Zone V

Chiu, Hui‐Fen; Chen, Ming-ting; Lin, Tzo-wu; Lu, Shinh-yen; Chang, Shih-Zen

doi:10.1097/00005373-199402000-00013

Cited by 11 publications

(3 citation statements)

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“…Chiu et al replanted 81 digits in 19 patients with complete amputations of four or more digits at Tamai's zone V using the simultaneously replanting technique. They reported an 87.5% survival rate . Their patients had mainly transmetacarpal amputations with adjoining digits.…”

Section: Discussionmentioning

confidence: 99%

“…A simultaneous replantation technique for multiple amputated digits at Tamai's Zone V has been reported . The simultaneous replantation technique includes application of pneumatic tourniquet first, debridement, bone shortening, and fixation of all the amputated digits, including tendon repairs, application of vascular clamps before releasing the tourniquet, followed by vascular anastomosis in one‐by‐one fashion for each digit . However, there was no study on functional outcomes in simultaneous replantation of multiple digit amputations at Tamai's Zone I to IV.…”

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confidence: 99%

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Clinical outcomes of a simultaneous replantation technique for amputations of four or five digits

Kwon¹,

Ahn²,

Lee

et al. 2015

Microsurgery

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

Clinical outcomes of a simultaneous replantation technique for amputations of four or five digits

Kwon¹,

Ahn²,

Lee

et al. 2015

Microsurgery

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“…Since the first successful thumb replantation published by Komasu and Tamai [ 14 ] in 1968, replantations using microvascular techniques have become a well-established procedure in plastic and reconstructive surgery around the world [ 1 , 2 , 3 , 4 , 5 , 7 , 8 , 9 , 10 , 11 , 12 ]. Over the past 30 years, as a result of technological advances in operating microscopes, microinstruments and microsurgical techniques, higher rates of successful digit replantations have been reported by numerous authors [ 5 , 15 , 16 , 21 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Microsurgical Finger Replantation in Hanoi, Vietnam: Our First Experience

Nt¹

2005

Handchir Mikrochir Plast Chir

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In this retrospective study, the author reports on preliminary results of finger replantations performed in the Department of Traumatology, Orthopaedics and Hand Surgery at Central Hospital 108, No. 1 Tran Hung Dao, Hanoi, Vietnam between September 1999 and December 2002. Forty-six amputated digits involving thirty-two complete and fourteen incomplete fingers were replanted and subsequently evaluated. The majority of the amputations was caused by avulsing or crushing injuries (76 %), with the left hand being predominantly affected (78.3 %). The overall success rate of finger replantation was 91.3 %. Secondary supplemental operations were performed in 8/42 (19 %) of the surviving digits, including seven tenolyses and one repeated osteosynthesis. The combined postoperative functional outcomes rated either as "good" or "fair" were 90.5 %, based on an average follow-up period of 18 months. One surviving replant was amputated one year later due to lost function and paraesthesia. We concluded from the study that digit replantations, especially multiple amputations, are often successful and it is always worthwhile to attempt to restore function as well as the normal appearance of the hand and digits. Despite the limited postoperative movement and less than normal level of sensation compared to uninjured counterparts, most individuals with surviving replanted digits following amputations can actively and effectively perform normal tasks without instability or pain.

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Influence of joint injury on motor and functional recovery of finger replantation

Chiu

Lee

1994

Microsurgery

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A series of 82 consecutive cases were studied concentrating on the influence of joint injury on the final motor and functional recovery of the successfully replanted or revascularized finger. In this series a 32.0% (41/128) incidence of joint injury was found. When the proximal interphalangeal (PIP) joint was injured and preservation was not possible, arthrodesis was done. This would cause a significantly lower Tamai's score (70.9), total active range of motion (TAM; 99.4 degrees) and TAM-minus the metacarpophalangeal joint TAM-MP; (15.6 degrees). The influence of arthrodesis on the distal interphalangeal (DIP) joint was relatively minor. When preservation of the joint was possible, the PIP arthroplasty group had a significantly higher Tamai's score (83.7, P < 0.01), TAM (157.9 degrees, P < 0.05), and TAM-MP (70.0 degrees, P < 0.001). Preservation of the DIP joint also significantly increased the TAM and TAM-MP degrees, yet with no significant improvement in Tamai's score. Our study proves what most hand surgeons would expect, in that sacrifices of the PIP and MP joint would cause a significantly detrimental effect on the functional recovery of a finger. We also recommend joint preservation during replantation surgery whenever possible, especially for the PIP and MP joints, in order to achieve better functional recovery of the finger.

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A Technique for Simultaneous Replantation of Multiple Amputated Digits at Tamaiʼs Zone V

Cited by 11 publications

References 0 publications

Clinical outcomes of a simultaneous replantation technique for amputations of four or five digits

Clinical outcomes of a simultaneous replantation technique for amputations of four or five digits

Microsurgical Finger Replantation in Hanoi, Vietnam: Our First Experience

Influence of joint injury on motor and functional recovery of finger replantation

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