The outcomes of severed finger replantation at Military Central Hospital 108

Abstract

Objective: Finger amputation is a severe yet non-life-threatening injury that significantly impacts patients' functional abilities, daily activities, and aesthetics. Microsurgical techniques have enabled successful finger replantation, restoring function and improving quality of life. This study evaluates the outcomes of long finger replantation at 108 Military Central Hospital, analyzing factors influencing surgical success and long-term functional recovery. Methods: A retrospective cross-sectional descriptive study was conducted on patients who underwent finger replantation between 2015 and 2019. Results: The most affected age groups were young adults and middle-aged adults, comprising 87.1% (27/31) of the cases. The most common cause was saws, accounting for 35.5% (11 cases), followed by forming machines at 19.4% (6 cases). Knives and paper cutters each contributed 16.1% of cases (5 patients each), while winding machines caused 9.7% (3 cases), and cloth cutters were responsible for 3.2% (1 case). The results indicate a high survival rate (91.4%) and functional recovery, with 35.4% of fingers achieving Grade IV function. Conclusion: These findings highlight the effectiveness of microsurgical replantation in restoring hand function and underscore the importance of postoperative rehabilitation.