Original Investigation

Proficiency and Difficulty Scoring Tools for Finger Replantation

JAMA Network Open 10.1001/jamanetworkopen.2025.40453

October 30, 2025 at 11:00 AM EDT

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Is surgeon proficiency score associated with 1-month success after replantation of an amputated digit?This cohort study including 653 digit replantation or revascularization procedures found an association between surgeon proficiency score, calculated by a previously developed scoring model, and digit survival outcomes at 1 month.These findings suggest that whenever feasible, patients with difficult replantation procedures should be triaged to greater-proficiency surgeons to maximize survival and optimize resource use.

Corresponding Author: Kevin C. Chung, MD, MS, Section of Plastic Surgery, Michigan Medicine, 1500 E Medical Center Dr, 2130 Taubman Center, SPC 5340, Ann Arbor, MI 48109-5340 (kecchung@med.umich.edu).

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