Four finger amputation injuries. Concept of treatment.
Fourteen patients with an amputation injury of four fingers are reported. Fifty-one of these 56 fingers were replanted with a survival rate of 88%. To achieve optimal results replantation of all fingers should be attempted. Dividing the operative procedure into a macrosurgical and a microsurgical part helps to economize both tourniquet time and total operative time. In case of arterial spasm or other difficulties to reestablish blood flow, a check list can be of great value. To achieve good results in such severe and difficult procedures a special organisation of replantation centers is needed.
Lanz
U
U
Department of Hand Surgery, University Clinic, Würzburg, Germany.
Krimmer
H
H
Vispo-Seara
J
J
D000328:Adult; D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D002675:Child, Preschool; D002985:Clinical Protocols / Q000592:standards; D005260:Female; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods*; D011859:Radiography; D012092:Replantation / Q000379:methods*; D014034:Toes / Q000637:transplantation