Headband technique of reimplantation of a partially amputed finger: a first reported in literature
Keywords:Headband, Reimplantation, Amputee finger, Finger plastic surgery
Background: Reimplantation of a partially amputee finger is a challenging task especially in resource limited country like India. In most of the scenario it lands in total amputation either due to delay in arrival at operative set up or due to lack of plastic surgery facility.
Methods: We developed an innovative approach (1st reported in literature) of “headband technique “of reimplantation of such partially amputee fingers and toes. Partially amputee fingers and toes with viability were selected for the operative treatment and for the study. The study was conducted from January 2020 to 2021 with a follow up period for 6 months at our institution. The innovative suturing technique involved a single stitch at the tip of the pulp and rest on adjacent to nail bed securing the neurovascular structures. The patient was in age group of 9 months to 94 years, mostly traumatic injury, with 40 male and 15 female patients. Patients who reported with fully amputee fingers, black escharotic finger were excluded from the study.
Results: To our accomplishment out of 55 operated patients, more than 50 have fully recovered.
Conclusions: With this simple technique of reimplantation even doctor at PHC’S can save fingers from getting amputed. Our study is with small number of patients; hence we advocate a larger study for to have conclusive evidence for the same.
Masuhara K, Tamai S, Fukunishi H, Obama K, Komatsu S. Experience with reanastomosis of the amputated thumb. Seikei Geka. 1967;18:403-4.
Casal D, Gomez MM, Antunes P, Candeias H, Almeida MA. Defying standard criteria for digital replantation: a case series. Int J Surg Case Rep. 2013;4: 597-602.
Belsky MR, Ruby LK. Double level amputation: should it be replanted? J Reconstr Microsurg. 1986;2: 159-62.
Beris AE, Lykissas MG, Korompilias AV, Mitsionis GI, Vekris MD, Kostas-Agnantis IP. Digit and hand replantation. Arch Orthop Trauma Surg. 2010;130: 1141-7.
Kantarci U, Cepel S, Buldu H. Successful replantation in tendigit amputation. Acta Orthop Traumatol Turc. 2010;44:76-8.
Qing-tai L, Chang-qing JZ, Ke-fei Y, Sha-ling C, Jan L, Zun-ying L. Successful replantation in 10-digit complete amputations. Plast Reconstr Surg. 1996;98: 348-53.
Baek SM, Kim SS. Ten-digit and nine-digit replantation (4 cases). Br J Plast Surg. 1992;45:407-12.
Cai J, Cao X, Pan J, Hu J. Replantation of a multiple digit and circular palm amputation: a case report. Microsurgery. 1993;14:221-4.
Pei GX, Zhao DS, Xie CP, Wang ST. Replantation of multi-level hand severances. Injury. 1998;29:357-61.
Lassaline JV, Moon BC. A computational fluid dynamics simulation study of coronary blood flow affected by graft placement. Interact Cardiovasc Thorac Surg. 2014;19:16-20.