[Thumb replantation after 22 hours of ischemia: a case report and review of literature].

Contemporary views on ischemia time role on finger replantations within the hand are presented. Numerous cases of successful replantations after prolonged warm ischaemia (up to 42 hours) and cold ischaemia (up to 94 hours) are cited. A case of 17 year old male with thumb amputation in zone V who had successful replantation done after 22 hours of ischemia is described in details. At 4 months follow-up reinervation is progressing and prognosis is good. Intraoperative problems and pharmacotherapy are discussed.