implantation and soft tissue cover

Question 1

Finger Replantation

Answer 1

Immediate management
- saline soaked gause
- ice
- cold ischaemic time - 24hrs
- warm ischaemic time - 6hrs

Indications
* thumbs
* children
* distal to FDS
* multiple digits

Contraindications
* elderly
* diabetic
* smokers
* non-compliant

order
* bone
* extensor tendon
* flexor tendon
* nerve
* artery
* vein

Question 2

soft tissue defect options

Answer 2

principles
- stable
- sensate
- mobility
- maintain length
- simple

Options for finger defects:
- local advancement flap
- pedicle flap - dorsal digital artery and dorsal branch of radial nerve
- free flap

Question 3

Arm replantation

Answer 3

• warm and cold ischaemic time <6hrs
• due to muscle