Digital replantation: clinical experiences.

In a series of 130 digital replantations successful revascularization has been obtained in 74% of cases. Arterial thrombosis is the most common cause (65%) of all failures. A useful digit can be obtained following replantation and the surgery is particularly indicated for amputated thumbs and in hands suffering multiple injuries. Precautionary measures against bleeding are absolutely essential. Primary tendon and nerve repairs are advocated. Vascular occlusion may be corrected by revisional surgery and secondary surgery can improve tendon nerve or joint function.