Replantation & Revascularization

For emergency consultation from a healthcare facility

An attending surgeon is available 24/7 for transfer/referral requests and consultation.
Emergency services include replantation (fingers, hands, scalp, ear, nose, lip, etc), hand/upper extremity trauma, and limb salvage.

415-565-6136

Replant Protocol

One of the nation’s leading and first high volume replantation centers

Since our founding, we have been a leader and innovator in replantation surgery. We continue to be a sought after high volume center where our group routinely saves among the most — if not the most — fingers and extremities annually across the country.

Scroll through the photos below to see postoperative results from a historically devastating injury — a complete ring avulsion amputation through “no man’s land” in zone 2 of the finger.

  • Finger Replantation

    WARNING: Sensitive content

    Scroll to see the postoperative results from a devastating injury — a complete ring avulsion amputation within “zone 2” of the finger

  • This patient suffered from a “ring avulsion” injury resulting in a complete amputation.

    Amputated finger

    This patient suffered from a “ring avulsion” injury resulting in a complete amputation.

  • Ring avulsion amputation

    This patient suffered from a “ring avulsion” injury resulting in a complete amputation.

  • The bones, tendons, blood vessels, and nerves are repaired under a microscope.

    Microvascular repair

    The bones, tendons, blood vessels, and nerves are repaired under a microscope.

  • During surgery, the finger regains bloodflow and the usual pink color.

    Complete replantation

    During surgery, the finger regains bloodflow and the usual pink color.

  • With hard work and hand therapy, the patient was able to achieve full extension without contractures

    Postoperative extension

    With hard work and hand therapy, the patient was able to achieve full extension without contractures

  • With hard work and hand therapy, the patient also regained full flexion at the MCP, PIP, and DIP joints

    Postoperative flexion

    With hard work and hand therapy, the patient also regained full flexion at the MCP, PIP, and DIP joints

Thumb amputation / replantation results

Expertise with prosthetic referrals