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Hand & Upper Limb
intermediate
X-Type

Replantation Indications

Microsurgery

A 28-year-old carpenter presents with a clean guillotine amputation of his index finger at the level of the proximal phalanx. The amputated part was immediately wrapped in moist gauze and placed on ice. Warm ischemia time is 2 hours. He is healthy and a non-smoker. Regarding replantation indications:

Mark each as TRUE or FALSE

A

Absolute indications for replantation include thumb amputation (critical for hand function), multipl...

B

Relative indications include single finger amputations distal to the FDS insertion (Zone I), ring av...

C

Single finger amputations should always be replanted; children have poor regeneration and should not...

D

The ischemia time limits are approximately 6 hours warm (12 hours cold) for digits and 6 hours warm ...

E

Surgical sequence for digit replantation is: bone shortening and fixation, extensor tendon repair, f...

Answer the questions to see explanations

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