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Journal of Bone and Joint Surgery, 1973;55:714-724.
© 1973 by The Journal of Bone and Joint Surgery, Inc

Digital Reattachment and Revascularization

BERNARD MCC. O'BRIEN B.SC., M.S., F.R.C.S., F.R.A.C.S.1 and G. D. H. MILLER F.R.A.C.S.1

1 From the Plastic Surgery Unit, St. Vincent's Hospital, Melbourne

In eight patients with traumatic complete amputation of one or more digits, microsurgical anastomosis of the arteries and veins was supplemented by the other procedures needed to re-establish the digit as a functional element—nerve suture, tendon suture, skeletal fixation, and reconstructive surgical procedures as needed. Success was obtained in eleven of fourteen digits in which an attempt was made to reattach the digit. The essential elements in the successful outcomes were: surgery completed soon after the injury (within fourteen hours), cooling of the severed member prior to surgery, a careful meticulous postoperative regimen, including antibiotics, anticoagulants, and prompt reintervention when signs of failure of vascular inadequacy arose, besides good surgical technique and measures of rehabilitation.


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