Challenges in replantation of complex amputations

Harvey Chim, Marco A. Maricevich, Brian T. Carlsen, Steven L. Moran, Christopher J. Salgado, Fu Chan Wei, Samir Mardini

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Surgical ingenuity has resulted in continuing microsurgical innovation in replantation. In this article, the authors define complex amputations as those that stretch the boundaries or fall outside traditionally defined indications for replantation. They discuss management of difficult situations involving multiple digit amputations, multiple-level amputations, prolonged ischemia, and multiple trauma. The role of transpositional and ectopic replantation, as well as the requirement for secondary procedures in replantation is also discussed. Although technically challenging, microsurgical management of complex amputations ultimately results in far superior outcomes.

Original languageEnglish (US)
Pages (from-to)182-189
Number of pages8
JournalSeminars in Plastic Surgery
Issue number4
StatePublished - Nov 20 2013


  • amputation
  • ischemia
  • microsurgery
  • multiple digit replantation
  • multiple level amputation
  • multiple trauma
  • rehabilitation
  • replantation
  • transpositional replantation

ASJC Scopus subject areas

  • Surgery


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