Reconstructive microsurgery covers the wider set of techniques that use the operating microscope to repair tiny structures. Free flap transfer is one part of it. The same skills are used to reattach a finger or hand that has been cut off, to repair or graft damaged nerves and to restore blood supply to tissue at risk.

Outcomes after replantation depend on the injury, how quickly the person reaches hospital, and how the part is cared for meanwhile. If a finger or limb is amputated, wrap it in clean, damp gauze, place it in a sealed bag, and keep that bag cool on ice without letting the tissue touch the ice directly, then go to the emergency department at once. Not every amputated part can be replanted, and the surgeon explains the situation honestly.

Risks include loss of the reattached part or flap, stiffness, incomplete nerve recovery and further surgery. Nerve recovery is slow and may be incomplete, so realistic goals are set at the outset.

Apex provides reconstructive microsurgery for trauma and cancer-related defects, including:

• Replantation: Apex treats amputation injuries of the fingers and hand with microsurgical reattachment where it is possible.
• Free Tissue Transfer: Apex performs free flap reconstruction for complex defects.
• Nerve Repair and Palsy Surgery: Apex treats nerve injuries, brachial plexus injury, facial palsy, foot drop and wrist drop.
• Post-Trauma and Post-Oncological Reconstruction: Apex reconstructs defects with pedicled and free flaps.