Finger replantation: Surgical technique and indications

Barbary, S.; Dap, F.; Dautel, G.

doi:10.1016/j.main.2013.04.012

Cited by 58 publications

(42 citation statements)

References 33 publications

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“…Replantation after ring avulsion injury is indicated for amputations distal to the flexor digitorum superficialis tendon insertion. This was the case in the two patients described here, who had refused amputation [2,7,8]. These were two cases of full soft tissue degloving of a long finger with bone, nerve and vascular damage.…”

Section: Discussionmentioning

confidence: 56%

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Secondary restoration of fingertip sensation with Littler's heterodigital neurovascular island flap after ring avulsion injury: Report of two cases

Peraut

Mirous

Chammas

2015

Chirurgie de la Main

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Section: Discussionmentioning

confidence: 56%

“…2A). He underwent emergency replantation using standard microsurgery techniques [7,8]. The proper palmar digital artery on the ulnar side was sutured through a split approach over the distal portion of P2 ( Fig.…”

Section: Patientmentioning

confidence: 99%

Secondary restoration of fingertip sensation with Littler's heterodigital neurovascular island flap after ring avulsion injury: Report of two cases

Peraut

Mirous

Chammas

2015

Chirurgie de la Main

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“…1,2 To aid in rapid osteosynthesis bone ends must make accurate contact; this will ensure effective bony union. 3 Bony shortening is often necessary to allow for a tensionless anastomoses avoiding the need for vein grafting in some cases.…”

mentioning

confidence: 99%

Cross‐clamping of bony stumps in preparation for osteosynthesis in digital replantation

et al. 2016

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Stable bony osteosynthesis is essential in digital replan-eliminates any movement and an accurate amount of bone to be shortened can be marked with ink (Fig. 1B). Our preference after this step is 90-90 box wiring described by Lister. 4 This provides optimal bone contact and more rapid osteosynthesis compared with retrograde Kirschner wiring. Authors have also demonstrated higher union rates with 90-90 wiring in replantation. 3 DARIUSH NIKKHAH, M.Sc., M.R.C.S.,

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“…A Tsuge suture (4/0 PDS loop) is mounted on the tendon, which can then be returned to its sheath, back to the cut edge. 5 The best results will always be achieved in a clean amputation with limited dissection.…”

mentioning

confidence: 99%

Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review

Hamid

Triwono²

2016

Bali Med J.

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Background: Replantation is the prime treatment for amputated hands and fingers due to functional and aesthetic advantages. The absolute indications for replantation are amputations of the thumb, multiple fingers, trans metacarpal or hand, and any upper extremity in a child, regardless of the amputation level. A fingertip amputation distal to the insertion of the flexor digitorum superficialis (FDS) is also a good indication. Indications have been expanded to include amputation at nail level, and when there is a request from the patient, replantation is attempted even for a single finger amputation regardless of the amputation level. Based on the mechanism of injury, a clean-cut sharp amputation is more likely replanted compare to a crush and avulsion injuries. With a proper management of the amputated finger, replantation can be attempted even after 24 hours. This report was written to provide examples of finger replantation cases and the measures that can be taken in a resource-limited hospital in order to conduct a replantation. Case Series: We reported five out of nine digital replantation cases in Sanglah General Hospital between January and July 2014. Two patients were a six and an eleven years old boys who accidentally cut their finger while playing, the rests were male labors between 20-30 years old whose amputations due to machine injuries. Result: A 100% replant survival was achieved. After a period of follow up with occupational therapy, all patients regain good functional and cosmetic results.

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Finger replantation: Surgical technique and indications

Cited by 58 publications

References 33 publications

Secondary restoration of fingertip sensation with Littler's heterodigital neurovascular island flap after ring avulsion injury: Report of two cases

Secondary restoration of fingertip sensation with Littler's heterodigital neurovascular island flap after ring avulsion injury: Report of two cases

Cross‐clamping of bony stumps in preparation for osteosynthesis in digital replantation

Finger Replantation in Sanglah General Hospital: Report of Five Cases and Literature Review

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