Grafts, Flaps, and Microsurgery
Microsurgery
Hand and Finger Replantation After Protracted Ischemia (More Than 24 Hours)
Lin C-H, Aydyn N, Lin Y-T, et al (Chang Gung Univ, Taoyuan, Taiwan) Ann Plast Surg 64:286-290, 2010§
Evidence Ranking
• C
Expert Rating
• 2
Abstract
Ischemia tolerance has been a major concern during hand and finger replantation. Because of multiple referrals and damage control resuscitation, ischemia is occasionally prolonged for more than 24 hours. Amputation impairs functional efficiency in amputees; therefore, if there is a favorable indication for replantation, microsurgical replantation can be performed to salvage the function of the affected part to an acceptable extent.