This article discusses the incidence and sequence of secondary procedures following digital replantation. In published series addressing this topic, the overall frequency of post-replantation surgery ranged from 2.9-93.2%. Tendon procedures accounted for 47.2% of cases, and comprised the leading type of secondary operations. Tendon procedures were followed by joint procedures (18.9%), skeletal stabilization (12%), skin coverage (11.4%), nerve reconstruction (8.9%), and late amputation (1.6%). The number of secondary procedures per patient averaged from 1-4.5, depending on prioritization of different procedures. The order of restoration procedures should be as follows: supple skin coverage, skeletal stability, and protective and proprioceptive sensation. Joint reconstruction follows these procedures, which in turn is followed by tendon reconstruction.
ASJC Scopus subject areas