Replantation of Fingertip Amputation by Palmar Pocket Method in Children

Arata, Jun; Ishikawa, K.; Soeda, Haruo

doi:10.1097/prs.0b013e3182063665

Cited by 8 publications

(6 citation statements)

References 4 publications

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“…It was modified by others to create the pocket over different sites including the abdominal wall and the palm. 14,23,25,29 Lin et al 26 modified the procedure as SDP with the advantages of high vascularity in the subdermal plexus, easy-to-monitor graft and wound conditions, and shorter pocketing period (an average of 3 weeks for subcutaneous pocket and 2 weeks for SDP). Similar techniques were applied by others later with good results.…”

Section: Discussionmentioning

confidence: 99%

“…However, a high failure rate requiring secondary revision and variable survival rate are noted in adults 18,19 . Several salvage methods are proposed for increasing the survival rate of composite grafts, including cap technique, 14,18 cooling method (Hirase technique), 20,21 and subcutaneous pocket 22–25 …”

mentioning

confidence: 99%

“…18,19 Several salvage methods are proposed for increasing the survival rate of composite grafts, including cap technique, 14,18 cooling method (Hirase technique), 20,21 and subcutaneous pocket. [22][23][24][25] We have introduced the subdermal pocket (SDP) procedure as a modification of the subcutaneous pocket procedure to increase the success rate of finger replantation in the absence of available veins. 26 In this study, we aimed to compare the success rate of composite grafts used in fingertip replantation with or without application of the SDP procedure.…”

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confidence: 99%

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The Efficacy of Subdermal Pocket Procedure in Fingertip Replantation With Composite Graft

Yeh

Lin

2022

Ann Plast Surg

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Background: Microsurgical replantation of fingertip amputation is sometimes difficult because of a lack of available vessels. Composite grafting is an alternative method for nonvascularized replantation, but it has a limited success rate. The subdermal pocket (SDP) procedure is proposed to increase the survival of composite graft. Aim and Objectives: We aimed to compare the success rate of the composite graft used in fingertip replantation with or without application of the SDP procedure. Patients and Methods: From 2000 to 2020, 29 fingertip amputations (28 complete amputations, 1 near-complete amputation) from 28 patients were included. Five of the fingertip amputations were classified as Ishikawa zone Ib and 24 as Ishikawa zone II. Seventeen fingers underwent replantation with composite graft plus SDP procedure, whereas the remaining 12 fingers received replantation with composite graft only.Results: The overall success rate was 70.59% (12 of 17) in the SDP group and 41.67% (5 of 12) in the composite graft-only group ( P = 0.119; odds ratio, 3.36). In the subgroup of Ishikawa zone II fingertip amputations, the success rate was 66.67% (10 of 15) in the SDP group and 22.22% (2 of 9) in the composite graft-only group ( P = 0.035; odds ratio, 7.0). Conclusions: The SDP procedure could increase the success rate of fingertip replantation with composite graft, especially for Ishikawa zone II amputations.

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Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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The Efficacy of Subdermal Pocket Procedure in Fingertip Replantation With Composite Graft

Yeh

Lin

2022

Ann Plast Surg

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“…Since then, other authors have reported variable success rates for the "pocketing" technique, 17 with higher success rates reported in children. 18 With regard to "pocketing", Brent 8 proposed the "cross-chest" pocket, which is similar in position to the infraclavicular flap. Lee et al 17 proposed "pocketing" the amputated part in the abdomen, between the subcutaneous tissue and muscle to allow for a more vascularized tissue in muscle to be in contact with the amputated part.…”

Section: Discussionmentioning

confidence: 99%

Non-Microsurgical Technique of Fingertip Replantation: A Report of Three Cases

Estrella¹

2012

Acta Med Philipp

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“…Muneuchi et al used this technique in adults with poor results [76]. However, Arata et al described the use of a palmar pocket in a group of 16 patients with zone I and II injuries, including 3 children, with complete survival in 13, and then later in a group of 10 children with zone I, II, and IV injuries with complete survival in all 10 [77,78]. Cosmetic and functional results were good.…”

Section: Amputationsmentioning

confidence: 99%

Pediatric hand and wrist injuries

Williams

Lochner

2012

Curr Rev Musculoskelet Med

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In the last 40 years, childhood hand and wrist injuries have become progressively more common as children have become heavier and more active in high impact sports. The majority of children with such injuries do well, but treatment is not always straightforward. Distal radius fractures, scaphoid fractures, metacarpal and phalangeal fractures, nailbed injuries, and amputations are among the pediatric hand and wrist injuries most often seen by orthopedists. These are all discussed, with a focus on the most recent literature and areas of evolving controversy.

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Replantation of Fingertip Amputation by Palmar Pocket Method in Children

Cited by 8 publications

References 4 publications

The Efficacy of Subdermal Pocket Procedure in Fingertip Replantation With Composite Graft

The Efficacy of Subdermal Pocket Procedure in Fingertip Replantation With Composite Graft

Non-Microsurgical Technique of Fingertip Replantation: A Report of Three Cases

Pediatric hand and wrist injuries

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