{"id":2019,"date":"2025-12-31T07:21:48","date_gmt":"2025-12-31T07:21:48","guid":{"rendered":"https:\/\/serdarnasir.com\/?page_id=2019"},"modified":"2026-10-20T14:45:59","modified_gmt":"2026-10-20T14:45:59","slug":"hand-and-finger-amputations-replantation","status":"publish","type":"page","link":"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/","title":{"rendered":"Hand and Finger Amputations (Replantation)"},"content":{"rendered":"\n\t<section class=\"section\" id=\"section_1872556210\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n  <div id=\"page-header-2130085745\" class=\"page-header-wrapper\">\n  <div class=\"page-title dark simple-title\">\n\n    \n    <div class=\"page-title-inner container align-center text-center flex-row-col medium-flex-wrap\" >\n              <div class=\"title-wrapper is-xlarge flex-col\">\n          <h1 class=\"entry-title mb-0\">\n            Hand and Finger Amputations (Replantation) in Ankara, Turkey          <\/h1>\n        <\/div>\n                    <div class=\"title-content flex-col\">\n        <div class=\"title-breadcrumbs pb-half pt-half\"><\/div>      <\/div>\n    <\/div>\n\n     \n<style>\n#page-header-2130085745 .page-title-inner {\n  min-height: 150px;\n}\n#page-header-2130085745 .title-overlay {\n  background-color: rgba(255, 255, 255, 0);\n}\n<\/style>\n  <\/div>\n    <\/div>\n  \n\t\t<\/div>\n\n\t\t\n<style>\n#section_1872556210 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n  background-color: #213360;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_803624662\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-568780947\">\n\n\t<div id=\"col-162715948\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<p>Hand and finger amputations are serious limb losses resulting from high-energy traumas. Replantation surgery aims to restore function by reattaching the severed limb. Success is directly related to the level of amputation, the duration, and the condition of the tissues.<\/p>\n<p>Before the replantation procedure, the severed part should be wrapped in sterile gauze and preserved in a cold environment. In the initial evaluation, the condition of the vascular, nerve, tendon, and bone structures is analyzed. Multilayer repair is performed using microsurgical techniques.<\/p>\n<p>The most critical step in hand and finger replantation is the restoration of vascular circulation. Blood flow is re-established with arterial and venous anastomoses; afterward, tendon, nerve, and bone structures are repaired. The procedure duration is long and requires an experienced team.<\/p>\n<p>After surgery, intensive monitoring and rehabilitation are required. In the first days, monitoring circulation, infection control, and wound care are important. In the long term, hand grip strength, sensation, and mobility are improved with physical therapy. Early and appropriate intervention determines functional success.<\/p>\n<table>\n<tbody>\n<tr>\n<td>Things You Should Know<\/td>\n<td>Information<\/td>\n<\/tr>\n<tr>\n<td>Definition<\/td>\n<td>Hand or finger amputations refer to the complete separation of a part of an extremity (finger, hand, etc.) from the body due to trauma. Replantation is the reattachment of this part using microsurgical methods.<\/td>\n<\/tr>\n<tr>\n<td>Common Causes<\/td>\n<td>Industrial accidents (press, saw, lathe machines), injuries caused by cutting and piercing tools, crushing traumas, knife or glass cuts.<\/td>\n<\/tr>\n<tr>\n<td>Types of Amputation<\/td>\n<td>1) Complete amputation: the tissue is completely separated. 2) Subtotal amputation: the tissue is partially connected (with vessels, skin, etc.).<\/td>\n<\/tr>\n<tr>\n<td>Suitability Criteria for Replantation<\/td>\n<td>Clean cuts, intervention in a short time, good general health status, regions with high functional expectations (thumb, multiple fingers, hand).<\/td>\n<\/tr>\n<tr>\n<td>Situations Not Suitable for Replantation<\/td>\n<td>Crush and avulsion type injuries, very long ischemic duration (&gt;12 hours warm, &gt;24 hours cold), multiple systemic trauma, advanced age and accompanying vascular diseases.<\/td>\n<\/tr>\n<tr>\n<td>Storage of the Amputated Part<\/td>\n<td>It should be wrapped in a clean cloth, placed in a waterproof bag, and then placed in a second bag filled with ice water. It should not come into direct contact with ice.<\/td>\n<\/tr>\n<tr>\n<td>Surgery Duration<\/td>\n<td>The replantation procedure may last between 4\u201310 hours; vascular, nerve, tendon, bone, and skin repairs are all performed.<\/td>\n<\/tr>\n<tr>\n<td>Surgical Sequence<\/td>\n<td>First bone fixation (wire, screw), then tendon repairs, followed by arterial and venous anastomoses, nerve repair, and skin closure.<\/td>\n<\/tr>\n<tr>\n<td>Role of Microsurgery<\/td>\n<td>The suturing of arteries and veins is performed under a microscope with 8\/0\u201311\/0 sutures. A specialized microsurgery team is required.<\/td>\n<\/tr>\n<tr>\n<td>Postoperative Monitoring<\/td>\n<td>Hand position, circulation control (color, temperature, capillary refill), bleeding, tissue vitality; the first 72 hours are the critical period.<\/td>\n<\/tr>\n<tr>\n<td>Complications<\/td>\n<td>Thrombosis, circulation disorder, infection, necrosis, finger shortening, sensory loss, joint stiffness, nerve or tendon function loss.<\/td>\n<\/tr>\n<tr>\n<td>Physical Therapy and Rehabilitation<\/td>\n<td>Begins from the first weeks; aims to restore joint range of motion, muscle strength, sensory training, and hand functions. The process may last for months.<\/td>\n<\/tr>\n<tr>\n<td>Functional Success Factors<\/td>\n<td>Level of amputation, surgery duration, early restoration of circulation, quality of nerve-tendon repair, compliance with rehabilitation.<\/td>\n<\/tr>\n<tr>\n<td>Thumb Replantation<\/td>\n<td>It is the most critical finger that should be replanted in terms of hand function. It provides gripping and holding functions.<\/td>\n<\/tr>\n<tr>\n<td>Psychosocial Support<\/td>\n<td>After traumatic amputations, patients may develop depression, anxiety, and body image disorders; psychological support may be required.<\/td>\n<\/tr>\n<tr>\n<td>Related Specialties<\/td>\n<td>Plastic surgery (microsurgery and hand surgery), orthopedics, emergency medicine, physical medicine and rehabilitation.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-162715948 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_803624662 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1008290876\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-1743532079\">\r\n\r\n\n\t<div id=\"col-966644414\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner dark\" style=\"background-color:#213360;\" >\n\t\t\t\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-317989827\">\r\n\r\n\n\t<div id=\"col-912475321\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div class=\"img has-hover border-gorsel x md-x lg-x y md-y lg-y\" id=\"image_1756213479\">\n\t\t\t\t\t\t\t\t<div class=\"img-inner dark\" >\n\t\t\t<img decoding=\"async\" width=\"533\" height=\"800\" src=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-533x800.webp 533w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1-267x400.webp 267w, https:\/\/serdarnasir.com\/wp-content\/uploads\/2026\/01\/DSC08566-1.webp 720w\" sizes=\"(max-width: 533px) 100vw, 533px\" \/>\t\t\t\t\t\t\n\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\n<style>\n#image_1756213479 {\n  width: 100%;\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-912475321 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-112990116\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1431648982\" class=\"text\">\n\t\t\r\n\r\n<div><strong><span style=\"font-size: 110%;\">Prof. Dr. Serdar Nas\u0131r<\/span><\/strong><strong><span style=\"font-size: 63%;\"><br \/>Specialist in Plastic, Reconstructive and Aesthetic Surgery, Hand Surgery<\/span><\/strong><\/div>\r\n\r\n\t\t\n<style>\n#text-1431648982 {\n  font-size: 1.55rem;\n}\n@media (min-width:550px) {\n  #text-1431648982 {\n    font-size: 1.85rem;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n<p>He completed his medical education at Ankara University Faculty of Medicine in 1996 and his specialty training between 1996\u20132002 at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Between 2002\u20132009, he worked at S\u00fcleyman Demirel University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery.<\/p>\r\n<p>Since 2009, he has been working at Hacettepe University Faculty of Medicine, Department of Plastic, Reconstructive and Aesthetic Surgery. He received the title of Associate Professor in 2011. In 2019, Dr. Nas\u0131r became a Professor and continues to work as a faculty member in this position.<\/p>\r\n<a href=\"\/en\/about-me\/\" class=\"button white\" style=\"border-radius:5px;\">\n\t\t<span>View More<\/span>\n\t<\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-112990116 > .col-inner {\n  margin: 0px 0px -10px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-966644414 > .col-inner {\n  padding: 30px 25px 0px 25px;\n  margin: 0px 0px -30px 0px;\n  border-radius: 30px;\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1008290876 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1716995279\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1221982573\">\n\n\t<div id=\"col-594203623\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_89 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #ffffff;color:#ffffff\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #ffffff;color:#ffffff\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#What_Are_Hand_and_Finger_Amputations_Replantation\" >What Are Hand and Finger Amputations (Replantation)?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#What_is_the_difference_between_replantation_and_revascularization\" >What is the difference between replantation and revascularization?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#Where_do_microsurgical_methods_stand_in_this_surgery\" >Where do microsurgical methods stand in this surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#Can_every_severed_part_always_be_reattached\" >Can every severed part always be reattached?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#In_which_situations_is_replantation_a_priority\" >In which situations is replantation a priority?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#How_should_the_severed_part_be_transported_and_preserved_at_the_time_of_the_accident\" >How should the severed part be transported and preserved at the time of the accident?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#What_is_the_surgical_sequence_followed_during_the_operation\" >What is the surgical sequence followed during the operation?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#Is_it_necessary_to_take_a_graft_from_the_body_for_vascular_repair\" >Is it necessary to take a graft from the body for vascular repair?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#What_is_the_hospitalization_process_after_surgery\" >What is the hospitalization process after surgery?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/serdarnasir.com\/en\/hand-surgery\/hand-and-finger-amputations-replantation\/#Frequently_Asked_Questions\" >Frequently Asked Questions<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"What_Are_Hand_and_Finger_Amputations_Replantation\"><\/span>What Are Hand and Finger Amputations (Replantation)?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Hand and finger amputations refer to the condition where the limb is completely or partially separated from the body as a result of trauma. Replantation is the procedure of reattaching the severed hand or finger using microsurgical techniques. In this surgical intervention, bone, tendon, vascular, and nerve structures are repaired to restore circulation and function. Success depends on the mechanism of injury, the preservation conditions of the severed part, and the patient\u2019s overall health condition.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_difference_between_replantation_and_revascularization\"><\/span>What is the difference between replantation and revascularization?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Although among the public every type of amputation and reattachment procedure is generally considered in the same category, for us plastic surgeons these two terms describe completely different scenarios both in terms of the course of the surgery and the recovery process. Understanding this distinction is very important for the patient to know what they will face. When we say replantation, we are referring to a complete amputation. In other words, the finger or limb has been completely separated from the body, has fallen to the ground, or remained inside a machine. In this case, the part is completely lifeless, blood circulation is zero, and it is outside the body.<\/p>\n<p>Revascularization, however, presents a somewhat different picture. Here the limb has not been completely severed; it may still be attached to the body by a piece of skin, a tendon, or a crushed muscle group. However, the critical point is this: the main vessels supplying the part have been cut. In other words, even though the finger is still there, it is pale, cold, and medically left to die because blood is not reaching it. If intervention is not performed, that part will be lost. In both situations the techniques we apply are similar; however, in complete amputations (replantation), additional and difficult stages such as cleaning the severed part, finding the vessel ends, and adjusting bone length come into play.<\/p>\n<p>Situations requiring revascularization are as follows:<\/p>\n<ul>\n<li>Deep glass cuts<\/li>\n<li>Partial limb amputations<\/li>\n<li>Fractures with vascular damage<\/li>\n<li>Gunshot injuries<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Where_do_microsurgical_methods_stand_in_this_surgery\"><\/span>Where do microsurgical methods stand in this surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The heart, brain, and hands of these operations are microsurgery. It is not possible to connect vessel ends that appear like simple red dots to the naked eye with standard surgical instruments. In limbs such as fingers, vessel diameters are usually below 1 millimeter, and sometimes even below half a millimeter. The sutures we use to reestablish blood flow through such delicate structures and ensure that it continues without obstruction are so thin that if they fall to the ground you cannot find them, because they are much thinner than a human hair.<\/p>\n<p>For this reason, we use massive surgical microscopes in the operating room. These microscopes enlarge our working area up to 40 times, providing us with a massive surgical field within that millimetric world. Microsurgery is not limited to suturing vessels. It also includes repairing the severed nerve ends one by one, fiber by fiber. In this way, the goal is not only for the finger to remain alive but also to regain sensation months later and distinguish between hot and cold. Therefore, replantation surgery is not a rough tissue attachment procedure but a restoration work that requires precision at the cellular level.<\/p>\n<p>Special instruments included in the microsurgery set are:<\/p>\n<ul>\n<li>High-resolution microscope<\/li>\n<li>Micro needle holder<\/li>\n<li>Jeweler-type forceps<\/li>\n<li>Vascular clamps<\/li>\n<li>Micro scissors<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-594203623 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1716995279 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_188396362\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-634315160\">\r\n\r\n\n\t<div id=\"col-102783284\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row align-middle\"  id=\"row-1047210414\">\r\n\r\n\n\t<div id=\"col-1496336030\" class=\"col medium-8 small-12 large-8\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-2248901197\" class=\"text\">\n\t\t\r\n\r\n<div><strong>Contact us to get information about treatments and create an appointment!<\/strong><\/div>\r\n\t\t\n<style>\n#text-2248901197 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #213360;\n}\n#text-2248901197 > * {\n  color: #213360;\n}\n@media (min-width:550px) {\n  #text-2248901197 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1935355700\" class=\"col medium-4 small-12 large-4\"  >\n\t\t\t\t<div class=\"col-inner text-right\"  >\n\t\t\t\n\t\t\t\r\n\r\n<a href=\"https:\/\/api.whatsapp.com\/send\/?phone=905330852159\" class=\"button success\" style=\"border-radius:5px;\" target=\"_blank\" rel=\"noopener\">\n\t\t<span>Contact via WhatsApp<\/span>\n\t<i class=\"icon-whatsapp\" aria-hidden=\"true\"><\/i><\/a>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-102783284 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-102783284 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_188396362 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_428361666\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-927817710\">\n\n\t<div id=\"col-784919891\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"Can_every_severed_part_always_be_reattached\"><\/span>Can every severed part always be reattached?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>This is the question most frequently asked by patients\u2019 relatives in the emergency department and the one whose answer is the most difficult to give. From an emotional perspective, everyone wants the part they lost to be restored. However, our medical reality and ethical approach are not based on \u201creattaching every part that can be sewn,\u201d but on \u201creattaching the part that will be useful.\u201d Because restoring blood flow to a lifeless tissue does not mean that it will become functional. If the finger we reattach becomes a structure that does not move, constantly causes pain, is numb, and becomes stiff like a stick when the healing process ends, this situation turns into more of a punishment than a reward for the patient.<\/p>\n<p>At the decision-making stage, the mechanism of the injury is the most determining factor for us. Cuts we call \u201cguillotine type,\u201d meaning clean amputations caused by sharp objects such as knives, cleavers, or glass, are the group with the highest chance of surgical success. Because tissue loss is minimal, vessel ends are clear, and the wound is clean. However, in injuries caused by crushing, getting trapped in a press machine, caught in heavy machinery, or avulsion-type injuries, the situation is much more severe. In such cases, vessels are damaged not only from the point where they were severed but also from a much wider and deeper area. Since the inner wall of the vessel is damaged, no matter how well we suture it, the risk of clot formation inside the vessel is very high.<\/p>\n<p>Some situations in which replantation is not recommended are:<\/p>\n<ul>\n<li>Multilevel injuries<\/li>\n<li>Severe crush damage<\/li>\n<li>Heavily contaminated wounds<\/li>\n<li>Prolonged waiting time<\/li>\n<li>Patients with life-threatening conditions<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"In_which_situations_is_replantation_a_priority\"><\/span>In which situations is replantation a priority?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>There are some exceptional situations where we push the limits as much as possible, no matter how difficult the surgery may be. In scenarios where the possibility of \u201cfunctional gain\u201d is very high or where the loss of the limb would dramatically make the patient\u2019s life more difficult, replantation becomes an absolute necessity. The foremost example of these is the thumb. Look at your hand and try to hold a glass without using your thumb; you will see how difficult it is. The thumb alone undertakes half of the hand\u2019s functions. Thanks to its ability to oppose the other fingers, it is the center of the gripping and holding function. Therefore, in thumb amputations, no matter how bad the injury may appear, reattachment is always attempted.<\/p>\n<p>Another unquestionable priority is pediatric patients. Children\u2019s bodies have an incredible healing potential compared to adults. The capacity of nerves to regenerate in children is extraordinary. An injury that may result in sensory loss in an adult patient can return almost completely to normal in a child. In addition, the brain structure of children (neuroplasticity) adapts to the repaired limb much more quickly. Although their vessels are thinner and technically more challenging for us, the results obtained in children will affect their entire lifetime, so they are always prioritized.<\/p>\n<p>Priority replantation indications are as follows:<\/p>\n<ul>\n<li>Thumb amputations<\/li>\n<li>Pediatric cases<\/li>\n<li>Wrist-level amputations<\/li>\n<li>Multiple finger losses<\/li>\n<li>Palm injuries<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"How_should_the_severed_part_be_transported_and_preserved_at_the_time_of_the_accident\"><\/span>How should the severed part be transported and preserved at the time of the accident?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The success of replantation begins not in the operating room but at the accident site. Unfortunately, a finger that was cleanly cut and technically 100% salvageable can become \u201cgarbage\u201d because of incorrect transport mistakes made while bringing it to the hospital. The most common mistake here is throwing the part directly into ice in panic. This is the biggest mistake that can be made. Freezing burns occur in tissues that come into direct contact with ice, cells crystallize, and the vascular structure is irreversibly damaged.<\/p>\n<p>The correct transportation method saves lives and is actually quite simple. We can call it the \u201cThree Bag Rule.\u201d The aim is not to freeze the part but to slow its metabolism by keeping it cool. In this way, the tissue can withstand lack of oxygen for a longer time. If transported correctly, parts such as fingers that do not contain muscle tissue can remain viable for up to 24 hours, while larger parts containing muscle can remain viable for up to 6\u20138 hours. However, the shorter these periods are kept, the higher the chance of success.<\/p>\n<p>The steps that should be followed are:<\/p>\n<ul>\n<li>Cleaning the part<\/li>\n<li>Wrapping it in a moist cloth<\/li>\n<li>Placing it in a dry bag<\/li>\n<li>Placing it in ice water<\/li>\n<li>Reaching the emergency department<\/li>\n<li>Substances that should not be used are:<\/li>\n<li>Direct ice<\/li>\n<li>Hydrogen peroxide<\/li>\n<li>Tincture of iodine<\/li>\n<li>Alcohol<\/li>\n<li>Milk<\/li>\n<\/ul>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-784919891 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_428361666 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1653983757\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-113214353\">\r\n\r\n\n\t<div id=\"col-79821645\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t<div class=\"is-border\"\n\t\tstyle=\"border-color:rgb(33, 51, 96);border-radius:10px;border-width:2px 2px 2px 2px;\">\n\t<\/div>\n\t\t\t\r\n\r\n<div class=\"row\"  id=\"row-74442492\">\r\n\r\n\n\t<div id=\"col-1207659197\" class=\"col medium-7 small-12 large-7\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\t<div id=\"text-1316475339\" class=\"text\">\n\t\t\r\n\r\n<p><strong>Contact Us!<\/strong><\/p>\r\n\t\t\n<style>\n#text-1316475339 {\n  font-size: 2rem;\n  text-align: center;\n  color: #1f437b;\n}\n#text-1316475339 > * {\n  color: #1f437b;\n}\n@media (min-width:550px) {\n  #text-1316475339 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\t<div id=\"text-2642441431\" class=\"text\">\n\t\t\r\n\r\n<div>Contact us to get information about treatments and create an appointment!<\/div>\r\n\t\t\n<style>\n#text-2642441431 {\n  font-size: 1.25rem;\n  text-align: center;\n  color: #2d304e;\n}\n#text-2642441431 > * {\n  color: #2d304e;\n}\n@media (min-width:550px) {\n  #text-2642441431 {\n    text-align: left;\n  }\n}\n<\/style>\n\t<\/div>\n\t\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1207659197 > .col-inner {\n  margin: 0px 0px 0px 0px;\n}\n@media (min-width:550px) {\n  #col-1207659197 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\n\t<div id=\"col-1647735315\" class=\"col medium-5 small-12 large-5\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\r\n\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f1791-o1\" lang=\"en-US\" dir=\"ltr\" data-wpcf7-id=\"1791\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/2019#wpcf7-f1791-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Contact form\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"1791\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.2.3\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"en_US\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f1791-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"randevu-form\">\n\t<div class=\"form-row\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-340\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Full Name\" value=\"\" type=\"text\" name=\"text-340\" \/><\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"tel-10\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Phone\" value=\"\" type=\"tel\" name=\"tel-10\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<div class=\"form-full\">\n\t\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"text-342\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" autocomplete=\"name\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Briefly write the subject\" value=\"\" type=\"text\" name=\"text-342\" \/><\/span>\n\t\t<\/p>\n\t<\/div>\n\t<p><button type=\"submit\">Create Appointment<\/button>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"14\"\/><script>\ndocument.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );\n<\/script>\n<\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-1647735315 > .col-inner {\n  margin: 0px 0px -20px 0px;\n}\n@media (min-width:550px) {\n  #col-1647735315 > .col-inner {\n    margin: 0px 0px -30px 0px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-79821645 > .col-inner {\n  padding: 30px 15px 0px 15px;\n  margin: 0px 0px -30px 0px;\n}\n@media (min-width:550px) {\n  #col-79821645 > .col-inner {\n    padding: 30px 20px 0px 20px;\n  }\n}\n<\/style>\n\t<\/div>\n\n\t\r\n\r\n<\/div>\r\n\r\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1653983757 {\n  padding-top: 0px;\n  padding-bottom: 0px;\n}\n<\/style>\n\t<\/section>\n\t\n\n\t<section class=\"section\" id=\"section_1134013063\">\n\t\t<div class=\"section-bg fill\" >\n\t\t\t\t\t\t\t\t\t\n\t\t\t\n\n\t\t<\/div>\n\n\t\t\n\n\t\t<div class=\"section-content relative\">\n\t\t\t\n<div class=\"row\"  id=\"row-1911366693\">\n\n\t<div id=\"col-168515234\" class=\"col small-12 large-12\"  >\n\t\t\t\t<div class=\"col-inner\"  >\n\t\t\t\n\t\t\t\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_surgical_sequence_followed_during_the_operation\"><\/span>What is the surgical sequence followed during the operation?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>When the patient lies on the operating table, while the anesthesia team tries to keep the patient\u2019s general condition stable, we surgeons begin to play a chess game against time. Although it may appear like a trauma dominated by chaos, the operation actually has a very strict discipline and an unchanging order. We generally act according to the principle of \u201cfrom bone to skin.\u201d Just as you first build the foundation and columns when constructing a building, we first establish the framework of the hand.<\/p>\n<p>The first stage is cleaning and debridement. Nonviable dead tissues are removed under the microscope. After that, the first task is to repair the skeleton. The severed bone ends are usually shortened slightly. This shortening provides us with room so that the severed vessels and nerves can meet end-to-end without tension. To fix the bones, we usually use thin wires or mini screws. After the skeleton becomes stable, we suture the motor units that will move the finger, namely the tendons.<\/p>\n<p>When the skeleton and movement system are ready, we proceed to the most delicate part of the operation, which is vascular repair. First the arteries are sutured to allow blood to reach the part. When we release the tourniquet, seeing that pale and white finger suddenly turn pink is the happiest moment in the operating room. After blood flow is established, the veins that will carry the dirty blood back are repaired. In the final stage, the nerves that carry the sense of touch are sutured under the microscope and the skin is closed.<\/p>\n<p>The surgical procedure sequence is as follows:<\/p>\n<ul>\n<li>Wound debridement<\/li>\n<li>Bone fixation<\/li>\n<li>Tendon repair<\/li>\n<li>Artery suturing<\/li>\n<li>Nerve repair<\/li>\n<li>Vein repair<\/li>\n<li>Skin closure<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Is_it_necessary_to_take_a_graft_from_the_body_for_vascular_repair\"><\/span>Is it necessary to take a graft from the body for vascular repair?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>In an ideal world and in clean cuts, we prefer to suture the severed vessel ends directly to each other. However, accidents in real life usually do not occur this way. In crushing, avulsion, or fragmentation injuries, the vessel ends are also severely damaged. Suturing a damaged vessel end is an invitation to blockage. Therefore we have to cut away those crushed and deteriorated parts.<\/p>\n<p>When we perform this cleaning, gaps sometimes of 2\u20133 centimeters and sometimes longer occur between the two healthy vessel ends. Vessels are not like rubber; you cannot pull and stretch them. If you suture them under tension, the vessel goes into spasm and blood flow stops. To fill this gap, we resort to the body\u2019s \u201cspare part\u201d reservoirs. Usually, a superficial vein segment taken from the inner surface of the forearm or from the dorsum of the foot, which does not have vital importance, is sutured as a \u201cpatch\u201d (graft) to the damaged area. This procedure prolongs the surgery time and increases technical difficulty, but it is often necessary for a healthy blood flow.<\/p>\n<p>Regions from which vascular grafts can be taken are:<\/p>\n<ul>\n<li>Inner surface of the forearm<\/li>\n<li>Dorsum of the foot<\/li>\n<li>Leg region<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"What_is_the_hospitalization_process_after_surgery\"><\/span>What is the hospitalization process after surgery?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>The completion of replantation surgery does not mean the work is finished. In fact, it would not be wrong to say that \u201cthe real process begins now.\u201d The first 7\u201310 days after surgery are at least as critical as the surgery itself. Especially the first 72 hours are the risky process we call the \u201cgolden period,\u201d during which vascular occlusions (thrombosis) occur most frequently. For this reason, we keep our patients under very close observation in the ward.<\/p>\n<p>The temperature of the room is very important for us. Because cold air causes vessels to constrict, the patient\u2019s room and body are kept warm at all times. Blood-thinning infusions and medications are administered to the patient. Doctors and nurses come every hour to check the color, temperature, and fullness of the finger. The finger being pink and warm indicates that things are going well, while turning white or purple indicates an urgent problem. During this period, the strictest rule the patient must follow is the smoking ban. Not only smoking themselves but even smoking near them is prohibited. Nicotine is a poison that instantly constricts vessels and may lead to the loss of the finger that has been sewn with so much effort.<\/p>\n<p>The clinical findings that are monitored are:<\/p>\n<ul>\n<li>Skin color<\/li>\n<li>Finger temperature<\/li>\n<li>Capillary refill<\/li>\n<li>Tissue tension<\/li>\n<li>Bleeding control<\/li>\n<\/ul>\n\t<div id=\"text-2778713807\" class=\"text\">\n\t\t\n<h2><span class=\"ez-toc-section\" id=\"Frequently_Asked_Questions\"><\/span>Frequently Asked Questions<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\t\t\n<style>\n#text-2778713807 {\n  font-size: 1.25rem;\n}\n<\/style>\n\t<\/div>\n\t\n<div class=\"accordion\">\n\t<div id=\"accordion-734465761\" class=\"accordion-item\">\n\t\t<a id=\"accordion-734465761-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-situations-are-hand-and-finger-amputations-suitable-for-replantation?\" aria-expanded=\"false\" aria-controls=\"accordion-734465761-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which situations are hand and finger amputations suitable for replantation?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-734465761-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-734465761-label\">\n\t\t\t\n<p>Replantation is preferred if the severed part is clean and properly preserved, if the amputation level is at the hand or finger level, and if the patient\u2019s general health condition is suitable. Timely intervention is one of the most important factors for success.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-4196737545\" class=\"accordion-item\">\n\t\t<a id=\"accordion-4196737545-label\" class=\"accordion-title plain\" href=\"#accordion-item-do-finger-functions-fully-return-after-replantation-surgery?\" aria-expanded=\"false\" aria-controls=\"accordion-4196737545-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Do finger functions fully return after replantation surgery?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-4196737545-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-4196737545-label\">\n\t\t\t\n<p>Although complete functional recovery after replantation is possible, some patients may experience a degree of movement limitation, sensory loss, or reduced strength. The rehabilitation process plays a critical role in regaining functions.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-753948067\" class=\"accordion-item\">\n\t\t<a id=\"accordion-753948067-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-ideal-intervention-time-for-replantation-in-hand-and-finger-amputations?\" aria-expanded=\"false\" aria-controls=\"accordion-753948067-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the ideal intervention time for replantation in hand and finger amputations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-753948067-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-753948067-label\">\n\t\t\t\n<p>Provided that the severed part is properly preserved in the cold chain, performing replantation within 6\u201312 hours increases the chance of success. Small structures such as fingers may preserve viability for a longer period.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2180602680\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2180602680-label\" class=\"accordion-title plain\" href=\"#accordion-item-in-which-situations-is-replantation-not-performed-in-finger-amputations?\" aria-expanded=\"false\" aria-controls=\"accordion-2180602680-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>In which situations is replantation not performed in finger amputations?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2180602680-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2180602680-label\">\n\t\t\t\n<p>Severe tissue crushing, multiple trauma, advanced age, heavy smoking, vascular diseases, or prolonged delays may lead to the decision not to perform replantation. It is not applied in situations where functional gain will be low.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2999242235\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2999242235-label\" class=\"accordion-title plain\" href=\"#accordion-item-what-is-the-success-rate-of-replantation-after-finger-amputation-in-children?\" aria-expanded=\"false\" aria-controls=\"accordion-2999242235-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>What is the success rate of replantation after finger amputation in children?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2999242235-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2999242235-label\">\n\t\t\t\n<p>Although vascular structures are smaller in children, the success rate of replantation is generally high due to their high healing capacity. Early intervention positively affects functional development.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1327579650\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1327579650-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-physical-therapy-last-after-replantation-and-why-is-it-important?\" aria-expanded=\"false\" aria-controls=\"accordion-1327579650-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does physical therapy last after replantation and why is it important?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1327579650-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1327579650-label\">\n\t\t\t\n<p>Physical therapy may last between weeks and months. The rehabilitation process is of great importance for increasing muscle strength, preserving joint range of motion, and supporting nerve healing.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1447292249\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1447292249-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-is-aesthetic-appearance-affected-after-hand-and-finger-replantation?\" aria-expanded=\"false\" aria-controls=\"accordion-1447292249-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How is aesthetic appearance affected after hand and finger replantation?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1447292249-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1447292249-label\">\n\t\t\t\n<p>Noticeable scars and shape differences may occur after replantation. However, thanks to microsurgical techniques, aesthetic results close to a natural appearance can be achieved in most patients.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1116090958\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1116090958-label\" class=\"accordion-title plain\" href=\"#accordion-item-can-sensory-loss-remain-permanent-after-replantation?\" aria-expanded=\"false\" aria-controls=\"accordion-1116090958-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Can sensory loss remain permanent after replantation?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1116090958-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1116090958-label\">\n\t\t\t\n<p>Even if nerve repair is successful, sensation may not fully return. Sensitivity may decrease especially in distal areas; however, partial recovery may occur over time with nerve regeneration.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-1549615820\" class=\"accordion-item\">\n\t\t<a id=\"accordion-1549615820-label\" class=\"accordion-title plain\" href=\"#accordion-item-is-there-a-risk-of-clot-formation-in-the-vessels-after-replantation?\" aria-expanded=\"false\" aria-controls=\"accordion-1549615820-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Is there a risk of clot formation in the vessels after replantation?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-1549615820-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-1549615820-label\">\n\t\t\t\n<p>Yes, clot formation is one of the most common complications after replantation and may lead to vascular occlusion. Therefore, close monitoring after surgery is necessary.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-363101155\" class=\"accordion-item\">\n\t\t<a id=\"accordion-363101155-label\" class=\"accordion-title plain\" href=\"#accordion-item-how-long-does-it-take-to-return-to-work-after-replantation?\" aria-expanded=\"false\" aria-controls=\"accordion-363101155-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>How long does it take to return to work after replantation?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-363101155-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-363101155-label\">\n\t\t\t\n<p>The time to return to work varies depending on the location of the amputation, the success of the replantation, and the type of work performed. While returning within a few months may be possible in light jobs, in jobs requiring fine hand skills this period may exceed 6 months.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n\t<div id=\"accordion-2965093988\" class=\"accordion-item\">\n\t\t<a id=\"accordion-2965093988-label\" class=\"accordion-title plain\" href=\"#accordion-item-which-department-or-doctor-should-be-consulted-for-hand-and-finger-amputations-(replantation)?\" aria-expanded=\"false\" aria-controls=\"accordion-2965093988-content\">\n\t\t\t<button class=\"toggle\" aria-label=\"Toggle\"><i class=\"icon-angle-down\" aria-hidden=\"true\"><\/i><\/button>\n\t\t\t<span>Which Department or Doctor Should Be Consulted for Hand and Finger Amputations (Replantation)?<\/span>\n\t\t<\/a>\n\t\t<div id=\"accordion-2965093988-content\" class=\"accordion-inner\" aria-labelledby=\"accordion-2965093988-label\">\n\t\t\t\n<p>In cases of hand and finger amputations (replantation), the most appropriate department to apply to is Plastic, Reconstructive and Aesthetic Surgery. Plastic surgeons specialized in microsurgery reattach severed limbs to the body by repairing vessels, nerves, and tendons, enabling the restoration of function. These procedures require a race against time, therefore emergency intervention is of great importance and patients should be directed immediately to a center experienced in this field.<\/p>\n\t\t<\/div>\n\t<\/div>\n\t\n<\/div>\n\t\t<\/div>\n\t\t\t\t\n<style>\n#col-168515234 > .col-inner {\n  margin: 0px 0px -45px 0px;\n}\n<\/style>\n\t<\/div>\n\n\t\n<\/div>\n\t\t<\/div>\n\n\t\t\n<style>\n#section_1134013063 {\n  padding-top: 30px;\n  padding-bottom: 30px;\n}\n<\/style>\n\t<\/section>\n\t\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":1929,"parent":1906,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"page-blank.php","meta":{"footnotes":""},"class_list":["post-2019","page","type-page","status-publish","has-post-thumbnail","hentry"],"_links":{"self":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2019","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/comments?post=2019"}],"version-history":[{"count":2,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2019\/revisions"}],"predecessor-version":[{"id":2030,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/2019\/revisions\/2030"}],"up":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/pages\/1906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media\/1929"}],"wp:attachment":[{"href":"https:\/\/serdarnasir.com\/en\/wp-json\/wp\/v2\/media?parent=2019"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}