Digital Replantation Workup

Updated: Feb 17, 2022
  • Author: L Andrew Koman, MD; Chief Editor: Harris Gellman, MD  more...
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Workup

Approach Considerations

The workup includes a history and physical examination of the patient, inspection of the amputated part(s), and plain radiographs. The examination should include an evalution of structural damage to the proximal extremity and to the amputated part.

The general health of the patient is important; emotional state must be considered and functional needs are crucial. Determining the mechanism of injury and cold ischemic time are essential.

Any history of conditions that may affect vascular function (eg, smoking, familial coagulopathies, peripheral vascular disease) should be determined.

No specific laboratory studies are generally necessary. Laboratory studies are dictated by comorbidities (eg, diabetes mellitus, anemia).

Plain anteroposterior and lateral radiographs of the amputated part and proximal extremity are indicated. Unless multilevel proximal arterial damage is suspected, arteriography is unnecessary.