Successful reimplantation and nerve catheter analgesia in a pediatric thumb amputation case

Abstract

Thumb amputation is a traumatic injury that poses significant challenges, particularly in pediatric patients. This case report details the successful reimplantation of a nearly totally amputated right thumb in a 20-month-old infant. The procedure was performed by a team of skilled hand surgeons under general anesthesia, and continuous local anesthesia infusion was administered via a supraclavicular peripheral nerve catheter. The post-operative course was uneventful, with intact vascularity, capillary refill, and motor function observed. This case highlights the importance of prompt surgical intervention, multimodal pain management, and close post-operative monitoring in achieving favorable outcomes for such cases.