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Hand & Upper Limb
intermediate
X-Type

Finger Replantation Principles

Hand Trauma

A 35-year-old carpenter sustains a clean guillotine amputation of his dominant index finger at the level of the proximal phalanx. The amputated part is wrapped in saline-moistened gauze and placed in a plastic bag on ice. He presents within 2 hours of injury. Regarding finger replantation:

Mark each as TRUE or FALSE

A

Absolute indications for replantation include thumb amputation, multiple digit amputations, any ampu...

B

Ischemia time limits depend on muscle content: digits tolerate 12-24 hours cold ischemia (6 hours wa...

C

All amputations should be replanted regardless of patient factors; direct contact with ice is prefer...

D

Surgical sequence includes debridement, bone shortening and fixation (first for stability), extensor...

E

Success is defined as survival of the replanted part (greater than 80% in experienced centers); func...

Answer the questions to see explanations

Click T (True) or F (False) for each option