CASE REPORT

Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review

Agus Roy Rusly Hariantana Hamid , Gatot Triwono

Agus Roy Rusly Hariantana Hamid
Division of Plastic, Reconstructive and Aesthetic Surgery, Department of Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital. Email: [email protected]

Gatot Triwono
Resident of Surgery, Department of Surgery, Faculty of Medicine Udayana University/Sanglah General Hospital
Online First: November 11, 2016 | Cite this Article
Hamid, A., Triwono, G. 2016. Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review. Bali Medical Journal 5(3): 522-527. DOI:10.15562/bmj.v5i3.339


Background: Replantation is the prime treatment for amputated hands and fingers due to functional and aesthetic advantages. The absolute indications for replantation are amputations of the thumb, multiple fingers, trans metacarpal or hand, and any upper extremity in a child, regardless of the amputation level. A fingertip amputation distal to the insertion of the flexor digitorum superficialis (FDS) is also a good indication. Indications have been expanded to include amputation at nail level, and when there is a request from the patient, replantation is attempted even for a single finger amputation regardless of the amputation level. Based on the mechanism of injury, a clean-cut sharp amputation is more likely replanted compare to a crush and avulsion injuries. With a proper management of the amputated finger, replantation can be attempted even after 24 hours. This report was written to provide examples of finger replantation cases and the measures that can be taken in a resource-limited hospital in order to conduct a replantation. Case Series: We reported five out of nine digital replantation cases in Sanglah General Hospital between January and July 2014. Two patients were a six and an eleven years old boys who accidentally cut their finger while playing, the rests were male labors between 20-30 years old whose amputations due to machine injuries. Result: A 100% replant survival was achieved. After a period of follow up with occupational therapy, all patients regain good functional and cosmetic results. 

No Supplementary Material available for this article.
Article Views      : 0
PDF Downloads : 0