Challenges in Fingertip Replantation

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چکیده

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Fingertip replantation: Technical considerations and outcome analysis of 24 consecutive fingertip replantations

Fingertip amputations are one of the most common injuries faced in an emergency department. Finger tip replantation though technically possible, are not regularly done due to the presumed complexity of the procedure and doubts about the outcome. This article deals with our experience of 24 fingertip replantations in 24 patients done over a period of 8 years since the year 2000. Twenty-one finge...

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A retrospective study of retrograde versus antegradepalm arteriovenous anastomosis in the distal fingertip replantation

Although replantation of fingertip is technically possible, advances in microsurgery have made salvage of amputated fingers a commonly performed procedure. In the present study, we aimed to evaluate the functional outcomes after retrograde (RAA) versus antegrade (AAA) palm arteriovenous anastomosis in the distal fingertip replantation. The results showed that survival rate, appearance and digit...

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Fingertip replantation (zone I) without venous anastomosis: clinical experience and outcome analysis

PURPOSE The purpose of this study was to report our experience of fingertip replantation without venous anastomosis using alternate method to counter post-operative venous congestion. METHODS 30 Patients (18 men and 12 women) with 30 fingertip amputations (Tamai zone I) were treated with artery-only anastomosis fingertip replantation between March 2010 and July 2014. Postoperative venous outf...

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Fingertip replantation and revascularization: literature review and a case report of fingertip amputation of the fifth finger of a one-year-old child

The distal phalanx has important functions and must be replanted in case of accidental amputation. Microsurgery is the preferred technique; however, the necessary vein anastomosis can be very difficult or even impossible, especially in small children. This paper reports a case of microsurgical replantation of the distal phalanx of the fifth finger of a one-yearol d male child who suffered a cru...

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Secondary procedures in replantation.

The success of replantation surgery is not judged by survival of the replanted part, but by the functional outcome attained. Hence, primary repair of all injured structures is the preferred aim. At times, constraints induced by the ischemia time and nature of injury preclude primary repair. In such situations, secondary procedures are inevitable. Secondary procedures are also frequently require...

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ژورنال

عنوان ژورنال: Seminars in Plastic Surgery

سال: 2013

ISSN: 1535-2188,1536-0067

DOI: 10.1055/s-0033-1360583