Case Report: Hand Replantation at The Mid Palm Level

Hand amputation severely impacts individuals' quality of life and needs prompt replantation for successful functional outcomes. Our case involves a 20-year-old female who suffered a complete amputation of her right dominant hand at the mid-palm level due to a sharp foam cutting machine accident. Bench surgery is an important time saving step which was performed to identify and tag structures. The amputated digits can tolerate up to 12 hours of warm ischemia and 24 hours of cold ischemia, emphasizing the significance of proper preservation methods. The patient underwent successful replantation surgery within 12 hours of the injury, involving bone fixation, tendon repair, and microvascular anastomosis. The patient's recovery progressed well, with good perfusion in all digits and a healthy suture line, leading to her discharge on the fifth post-operative day. Hand amputation can be successfully managed with timely intervention and skilled microvascular surgeons, resulting in favorable anatomical and functional outcomess.