Topics Covered:

• What are your true indications for replantation (aside from what is published?)
• How distal will you attempt replantation? 
• What instruments are important to have in the operating room when you perform a replantation?
• Intraoperative details
• How long does a replant take?
• What is your order of repair?
• What technique do you find best for bony fixation? Tendon repair?
• How many veins do you typically anastomose? Will you anastomose a vein with a skin bridge? 
• How often do you vein graft in a replantation? What are some indications for vein grafting? 
• Do you recommend a flap at the time of replantation? Venous flaps?
• Ring Avulsion Injuries: Should Type III avulsions be discarded?
• Post-operative protocol?
• Do you heparinize? Leeches?
• When do patients start occupational therapy?
• Who does poorly after replantation?
• What are some options besides replantation for thumb reconstruction?
• Do you need a thumb vs toe to thumb replantation? 
• When consenting for a toe to thumb what kind of conversation do you have with the patient?
• What have been some innovations in replantation?
• How have attitudes changed towards replantation?