Replantation in children.

Journal Article (Review)

The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possible replantation. Replantation should consist of minimal bone shortening to preserve epiphyseal plates, with repair of all severed structures. Longitudinal K-wires usually provide adequate fixation. Our survival rate for complete replantation in children under the age of 16 years is 77%. Long-term study showed that continued skeletal growth occurred and the digit attained 81% of normal longitudinal length at maturity. Recovery of sensibility in the replanted digit is nearly as good as for isolated digital nerve repair. Patient and parent satisfaction is high when replantation is successful, with uniform approval of the extensive effort required.

Full Text

Duke Authors

Cited Authors

  • Taras, JS; Nunley, JA; Urbaniak, JR; Goldner, RD; Fitch, RD

Published Date

  • 1991

Published In

Volume / Issue

  • 12 / 3

Start / End Page

  • 216 - 220

PubMed ID

  • 1865815

International Standard Serial Number (ISSN)

  • 0738-1085

Language

  • eng

Conference Location

  • United States