Replantation of complete severed fingertip with only artery anastomosis: 13 cases report
10.3760/cma.j.issn.1001-2036.2011.02.007
- VernacularTitle:单一修复动脉的指尖断指再植13例
- Author:
Kai JIANG
;
Hongsheng JIAO
;
Guangrong FANG
- Publication Type:Journal Article
- Keywords:
Fingertip;
Replantation;
Microsurgery
- From:
Chinese Journal of Microsurgery
2011;34(2):106-108
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the replantation of complete severed fingertip when vein can't be repaired and only artery be repaired. Methods All 13 cases complete severed fingertips were replantated with only artery anastomosis but vein cannot be repaired.Low molecular weight heparin was applied to prevent blood clotting postoperation. Blood-letting by nail extraction or latero-incision were done in some cases.The survival fingers were observed. Results After 3-12 months followed-up,12 cases survived with satisfactory appearance and locomotion,2-PD of 2-7 mm,but 1 case was failed. Conclusion The replanted fingertip may survival with only artery anastomosis because of fewer tissue and faster recontruction of venous return.It would raise the survival rate of replanted fingertip by blood-letting by nail extraction or latero-incision according to the traumatic condition.
