Finger Replantation Center, Samitivej Sriracha Hospital

Ready to provide treatment ranging from injuries to the hand, arm, and fingers to complex surgeries involving tendons, nerves, and finger replantation (Replantation).
By a team of orthopedic and hand surgeons With specialized experience Equipped with modern tools and operating rooms

Why choose the Finger Replantation Center at Samitivej Sriracha?

A specialist team in hand surgery and microsurgery

• Hand & microsurgeons who are trained and experienced

• Working with a multidisciplinary team including orthopedic doctors, plastic surgeons, physiotherapists, and occupational therapists

Specialized expertise

• Surgery Finger/arm/hand reattachment (Finger/Hand Replantation)

• Treatment of torn tendons and nerves

• Surgery to repair complex traumatic injuries of the hand and arm

• Surgery to correct congenital abnormalities of the hand

24-hour emergency care available

• Medical team ready for emergency surgery, such as finger/hand amputation, machinery accidents, or severe injuries

• Operating room and microsurgical equipment (Operating Microscope) available at all times

Postoperative rehabilitation

• Specialized hand physical therapy and occupational therapy program

• Ongoing care to reduce complications and effectively restore hand function

Our services

Emergency treatment for hand and finger injuries

• Surgery Finger reattachment (Replantation)

• Tendon, nerve, and blood vessel repair

• Care for electrical shock wounds and machine-related injuries

Corrective and reconstructive surgery

• Treat nerve compression conditions such as Carpal Tunnel Syndrome

• Treat torn tendons and stiff finger joints

• Surgery to correct congenital hand deformities

Functional rehabilitation

• Specialized hand physical therapy

• Hand Therapy Program

• An occupational therapist co-designs daily living activities

FAQ – Frequently Asked Questions

What should I do if a finger is amputated?

• Place the amputated part in a clean bag, keep it on ice (do not let it touch the ice directly), and come to the hospital within 6 hours.

Is finger reattachment surgery likely to get infected?

• The chance of success is high if you arrive quickly and the condition is suitable. It depends on several factors, such as the time since injury and the patient’s health.

How long is the recovery after surgery?

• Generally, you will stay in the hospital for 5–7 days, and you may need ongoing physical therapy so that hand function returns as close to normal as possible.

Are you open 24 hours?

• The Hand Surgery Center is open every day and has an on-call emergency medical team available 24 hours a day.

Hours and Contact

• Regular hours: Every day 07:00–22:00

• After hours: Emergency surgery and 24-hour emergency room

Tel. 095- 207-8526 (Available every day, 24 hours)

Finger replantation (Digital replantation)

This is a surgical procedure that uses a microscope to reconnect blood vessels and nerves. Finger reattachment techniques have been continuously developed, resulting in better treatment outcomes up to the present. When an injury causes a finger to be amputated, the patient or the person bringing the patient to the hospital should bring all amputated parts completely. Before coming to the hospital, rinse the amputated part with clean water, then wrap the finger part with a clean cloth dampened (wrung out) with water. Put it in a plastic bag, seal the bag tightly, and then place it on ice (should notlet the part come into direct contact with ice). For the finger stump (the patient’s hand), use a bandage to wrap and cover the wound tightly to stop the bleeding. Do not use a tourniquet, because it can injure the blood vessels. Then bring the patient to the hospital as quickly as possible, because if too much time passes, the tissue may lose blood supply and die permanently, making successful finger reattachment impossible. And when arriving at the hospital,

the doctor will consider performing finger reattachment surgery for injured patients in the following cases:

• Missing thumb
• Multiple fingers missing
• Missing finger(s) in children
• Finger amputation at the distal-to-middle phalanx level

​However, if the patient has any of the following conditions, the doctor will consider performing a different type of surgery instead:

1. The amputated finger has very severe tissue damage; the doctor determines that the chance of successful reattachment is quite low.
2. The finger is amputated into multiple segments within the same finger.
3. The patient has underlying medical conditions or other associated injuries that make it unsafe for the patient to undergo a long-duration surgery.
4. Patients with poor blood vessel/vascular health.
5. Patients with abnormal mental conditions that prevent them from strictly adhering to the treatment plan.
6. Patients who are referred to the hospital too late, resulting in necrosis of the finger tissue, making successful reattachment impossible.

For finger reattachment surgery, general anesthesia is used so the patient is unconscious during the operation. The doctor will shorten the bone so that other structures can be repaired without excessive tension. Then the tendons used to extend and flex the finger are sutured, followed by repair of the nerves, veins, and arteries in sequence using a microscope.

After surgery, the patient must stay in the hospital for 5–7 days for antibiotics, to allow the wound to heal, and to monitor for conditions that reduce blood flow to the fingertip, including vasospasm, venous congestion, and arterial thrombosis. The first two conditions can be treated at the bedside without returning to the operating room, but if arterial thrombosis occurs, the patient must be taken to the operating room to redo the blood vessel anastomosis.

While in the hospital, the patient should avoid triggers that cause blood vessels to constrict, which can lead to reduced blood supply to the finger, including drinking tea or coffee, smoking, staying in cold environments, and becoming excited or startled.

When the finger shows no signs indicating ischemia and the wound has begun to dry well, the doctor will allow the patient to go home and will schedule follow-up visits to monitor symptoms until the finger bone has healed well. Then physical therapy will begin so the patient can move the finger better.

Information by Dr. Sorawit Weerasophon (specialist in microsurgery).
Finger Replantation Center, Samitivej Sriracha Hospital