The Use of Microsurgeon Tool Box to Improve Outcomes in Avulsed Finger Replantation

Background: Traumatic finger avulsion amputation is consideredone of the most challenging emergency procedures inthe field of hand surgery. The good preparation of variable differentsituation that may be faced by the surgeon in that criticalcondition is important issue.Objective: Trying to solve chalenges associated with replantationof amputed fingers.Patients and Methods: During the period from March2020 to October 2023, 17 cases were included in this prospectivestudy presented with traumatic avulsion amputation oftheir finger underwent replantation. Different scenarios of thetrauma necessitate the presence of different solutions.Results: This study was performed on 17 patients, 11 males(64.7%) and 6 females (35.3%) with mean age (27.18±14.16)year. Commonly involved finger was thumb (36.8%). Traumaby revolving machines in 13 cases (76.5%) and heavy bluntobjects in 4 cases (23.5%). Average ischemia time were 3hours of them 11 cases (64.7%) were cold ischemia, and 6 cases(35.3%) were warm ischemia.Conclusion: The procedure of replantation of traumaticfinger avulsion amputation has multiple difficulties to the handsurgeon. The surgical decision must be tailored according tothe condition faced during surgery. An accepted final outcomecan be achieved even in the most difficult scenario with goodsurgical preparation.