Remarks and thoughts on the evaluation of results in replantation surgery

: In order to completely evaluate the results after replantation or revascularization of an amputated part, an additional factor, integration or the adaptation of the replanted part to the activities of daily living and to the occupational life of the patient, should be considered. Six categories are developed and illustrated with examples. Each of the categories is assigned a high differential multiplication factor according to whether the replanted part is useless (factor 1), not useful but also not a hindrance (factor 10), is only an aid to the healthy extremity (factor 30) or is of limited use in daily life and at work (factor 50). Factor 70 is assigned when the amputated part can be used with retraining in another job and is not a hindrance in daily life. Factor 100 applies when the replanted part does not interfere with daily living or occupation. This factor should be regarded as a supplementary assessment which attempts to objectively evaluate a replanted or revascularized part of the hand.