Replantation and revascularisation surgery in children.

Salvage of any amputated, or devascularised, digit or extremity in a child should be seriously considered and carefully planned. Bone shortening should be minimised. Replanted and revascularised digits and extremities do grow and often demonstrate minimal retardation when well revascularised and minimally traumatised. Even in more extensive injuries progressive growth is observed. Replanting of single digits is worth while in children. Vein grafting should be seriously considered when replanting any avulsed digit. The return of excellent sensation and good function in amputated parts in children makes these procedures rewarding and beneficial.