Arm, Hand or Finger Replantation

The term Replantation refers to the surgical reattachment of a finger, hand, or arm that has been completely cut from a person's body. The goal of replantation surgery is to return the patient's use of the injured area as much as possible. In some cases, replantation is not possible because the detached part might be too damaged. If the lost part cannot or should not be reattached, you may be qualified for a prosthesis, a device that substitutes a missing part of the body. In many cases, a prosthesis may give you the ability to function better than you would without the prosthesis.

Replantation is usually recommended when the replanted part will work at least as well as a prosthesis. Generally, a missing hand or finger would not be replanted knowing that it would not work, be painful, or get in the way of everyday life. Before the replantation surgery, the doctor will, if possible, explain the replantation surgery and the substantial commitment of time and effort needed from the patient for recovery, as well as how much use is likely to return following replantation. The patient and/or family members must decide whether that amount of use justifies the long and difficult operation, time in the hospital, and months or years of rehabilitation.

There are a number of steps involved in the replantation process. First, damaged tissue is carefully removed. Then bone ends are shortened and rejoined by pins or plates. This holds the part in place to allow the rest of the tissues to be restored to a normal position. Muscles, tendons, arteries, nerves and veins are then repaired. Sometimes grafts of bone, skin, tendons, and blood vessels may be needed, too.

Dr. Hazan has 14 years of expertise in emergency room of Hospital Souza Aguiar, where he has performed several arm, hand and finger replantations. Due to his work at Souza Aguiar, Dr. Hazan became a reference in Rio de Janeiro for the past five years.

Dr. Hazan has considerable experience in Reconstructive Micro Surgery, focusing on replantations, transplantations of the genital area, inferior members, abdomen and the torso.

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