Hand and Finger Replantation

Injuries involving amputation or devascularization of the fingers are complex lesions requiring that the patient be brought to a specialized and reference center. The ultimate goal of replantation is an excellent functional and cosmetic result, conditioned by trauma-dependent factors, the patient, and the surgeon. The success rate found in replantations and revascularizations is currently around 91.5% in our series of 237 patients between 2006 and 2021. An accurate initial assessment of the patient and the amputated part is critical and directly impacts the indication and outcome of the replantation. The performance in microsurgery techniques is essential for the success of the procedure. In this chapter, we discuss indications, contraindications, pre- and postoperative care, and the sequence of replantation, starting even before the patient reaches the operating theater; we also suggest a series of technical tips to help the reader succeed in replantation surgery.