The main complications after digital replantation are discussed in this review article. These complications include vascular compromise, infection, partial necrosis, delayed union or nonunion, atrophy and so on. The countermeasures for these complications are reviewed and the authors’ methods are also introduced and discussed.
BreahnaASiddiquiAFitzgerald O’ConnorEIwuagwuFC.Replantation of digits: a review of predictive factors for survival. J Hand Surg Eur Vol. 2016,
41: 753–7.
2.
BrooksDBunticRFTaylorC.Use of the venous flap for salvage of difficult ring avulsion injuries. Microsurgery. 2008,
28: 397–402.
3.
CavadasPCRubiCThioneAPerez-EspaderoA.Immediate versus overnight-delayed digital replantation: Comparative retrospective cohort study of survival outcomes. J Hand Surg Am. 2018,
43: 625–30.
4.
ChaivanichsiriPRattanasrithongP.Type of injury and number of anastomosed vessels: Impact on digital replantation. Microsurgery. 2006,
26: 151–4.
5.
ChenCWangZTHaoLW.A free vascularized cruciate flap for correction of a circumferential constriction deformity following finger replantation: A case report. J Hand Surg Eur Vol. 2021,
46: 1009–11.
6.
ChiaDSTaySC.A retrospective review of troubled replantations. Hand Surg. 2015,
20: 127–32.
7.
ChoHEZhongLKotsisSVChungKC.Finger replantation optimization study (front): Update on national trends. J Hand Surg Am. 2018,
43: 903–12 e1.
8.
CroweCSTolleyPDMauchJTMillerEAKaoD.Management of artery-only digit replantation: A systematic review of the literature. Plast Reconstr Surg. 2022,
150: 105–16.
9.
EfanovJIRizisDLandesGBou-MerhiJHarrisPGDaninoMA.Impact of the number of veins repaired in short-term digital replantation survival rate. J Plast Reconstr Aesthet Surg. 2016,
69: 640–5.
10.
ElmaraghiSIsraelJSGanderB.Systematic review of replant salvage and cost utility analysis of inpatient monitoring after digit replantation. J Hand Surg Am. 2022,
47: 32–42.
11.
HuangCTLiJKZhuJKLuXQLiQY.[high-dose urokinase for thrombolysis following replantation of severed limbs or fingers]. Di Yi Jun Yi Da Xue Xue Bao. 2004,
24: 1431–4.
12.
JupiterJBPessGMBourCJ.Results of flexor tendon tenolysis after replantation in the hand. J Hand Surg Am. 1989,
14: 35–44.
13.
KomatsuS TS.
Successful replantation of a completely cut-off thumb. Plast Reconstr Surg. 1968,
42: 374–7.
LeeBIChungHYKimWKKimSWDhongES.The effects of the number and ratio of repaired arteries and veins on the survival rate in digital replantation. Ann Plast Surg. 2000,
44: 288–94.
16.
LinYT.Technical keys in maximizing finger proximal interphalangeal joint motion after vascularized toe joint transfers. J Hand Surg Eur Vol. 2019,
44: 667–75.
17.
LineaweaverWCHillMKBunckeGM, et al.
Aeromonas hydrophila infections following use of medicinal leeches in replantation and flap surgery. Ann Plast Surg. 1992,
29: 238–44.
18.
MayJWJrTothBAGardnerM.Digital replantation distal to the proximal interphalangeal joint. J Hand Surg Am. 1982,
7: 161–6.
19.
PeijiWQirongDJianzhongQHuayiWKailongZNanY.Intramedullary fixation in digital replantation using bioabsorbable poly-dl-lactic acid rods. J Hand Surg Am. 2012,
37: 2547–52.
20.
RetrouveyHSolajaOBaltzerHL.The effect of increasing age on outcomes of digital revascularization or replantation. Plast Reconstr Surg. 2019,
143: 495–502.
21.
SearsEDChungKC.Replantation of finger avulsion injuries: A systematic review of survival and functional outcomes. J Hand Surg Am. 2011,
36: 686–94.
22.
SebastinSJChungKC.A systematic review of the outcomes of replantation of distal digital amputation. Plast Reconstr Surg. 2011,
128: 723–37.
23.
StricklandJW.Flexor tendon surgery. Part 2: Free tendon grafts and tenolysis. J Hand Surg Br. 1989,
14: 368–82.
TangJBWangZTChenJWongJ.A global view of digital replantation and revascularization. Clin Plast Surg. 2020,
47: 437–59.
26.
WeinzweigNSharzerLAStarkerI.Replantation and revascularization at the transmetacarpal level: Long-term functional results. J Hand Surg Am. 1996,
21: 877–83.
27.
WhitneyTMLineaweaverWCBunckeHJNugentK.Clinical results of bony fixation methods in digital replantation. J Hand Surg Am. 1990,
15: 328–34.
28.
WooSHKimYWCheonHJ, et al.
Management of complications relating to finger amputation and replantation. Hand Clin. 2015,
31: 319–38.
29.
WuFShenXEberlinKRSunZZhouXXueM.The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation. Injury. 2018,
49: 1113–8.