Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and…

ReviewJournal of reconstructive microsurgery· Sep 2023

Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and Literature Review.

Tommy Nai-Jen Chang, Chung-Chen Hsu, Hywel Dafydd … Cheng-Hung Lin

Hand & Peripheral NerveReviewQ1IF 2.3

Heterotopic digital replantation survival rate similar to orthotopic in mutilated hands

Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and Literature Review.

Tommy Nai-Jen Chang … Cheng-Hung Lin

Journal of reconstructive microsurgery · Sep 2023 · Q1 in Surgery

Background

Reconstruction of the mutilated hand is one of the most difficult challenges for hand microsurgeons.

Methods

A retrospective chart review was conducted to determine the details of the injury, indications for heterotopic digital replantation, and functional outcomes.

n = 54 hands

Results

similar survival to conventional replantation, supporting it as a reliable alternative

Heterotopic replantati

83.8%

Orthotopic replantatio

86.7%

More results

In total, 173 digits were amputated from 53 patients (one patient suffered from bilateral hand injuries, so totally 54 hands).

Sixty-eight digits underwent heterotopic digital replantation, 30 digits had orthotopic digital replantation, and 75 stumps were terminalized.

More results

Tripod grip was achieved in 83.3% (45/54) of patients following replantation and optional secondary reconstructive surgeries.

“

Conclusion · 1 of 3

Heterotopic digital replantation is a practical and reliable method for achieving optimal hand function following mutilating hand injuries.

Conclusion · 2 of 3

The basic principles are to restore a functional thumb in the first instance, followed by at least two adjacent fingers against which the thumb can oppose.

Conclusion · 3 of 3

This method is particularly indicated when orthotopic digital replantation of the available amputated parts would yield a suboptimal result.

Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and Literature Review.

Heterotopic Digital Replantation in Mutilating Hand Injuries: An Algorithmic Approach Based on 53 Cases and Literature Review.

Related papers