Amputations eHand

Description: Fingertip, finger and thumb amputations are unfortunately common. Replantation of amputations at any level from shoulder to fingertip pulp is technically possible and has been performed for years. Replantation is a considerable undertaking, more so for the patient than for the surgeon, because it usually involves a prolonged recovery period, often multiple operations, intensive therapy and when complete, it is realistic to expect only partial recovery of range of motion and sensation. If replantation is a consideration, a regional center performing replantation surgery should be contacted to confirm with the receiving surgeon that referral for replantation is appropriate and that such services will be available.
If replantation is not performed, amputation wounds may require skeletal shortening for simple primary closure. Skeletal shortening should be avoided in the digits if possible, for a relatively small loss of length may critically change the functional outcome of the digit.