Replantation & Microsurgery

Amputation defined by the anatomical site

Can be guillotine, crush or avulsion (these have the poorest results and prognosis)

Care of the amputated part

Gently irrigate with Hartmann's

Wrap in wet swab

Place in bag and place bag in ice

Ischaemia time

	Warm ischaemia time	Cool ischaemia time (4°c)
Digit	12 hours	24 hours
Significant amount of muscle	6 hours	12 hours

Indications for Replantation

Thumb amputation
Multiple digit amputations
Metacarpal amputation
Almost any body part in a child
Wrist or forearm amputation
Individual digit distal to FDS insertion, replantation at level distal to insertion of FDS often results in satisfactory function [Diagram]

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