Replantation of the completely avulsed thumb using long arterial and venous grafts.
Long arterial and venous grafts (10-15 cm. in length) were used in the replantation of thumbs amputated by avulsion. All replanted parts survived and thrombosis requiring anastomotic revision did not occur in any of the cases. Based upon a consideration of different factors that may lead to the formation of thrombus in reconstructed vessels, a method is recommended for routine use in replantation of the thumb, with specific reference to avulsion injuries.
Nyström
A
A
Department of Hand Surgery, University of Umeå Hospital, Sweden.
Backman
C
C
D000328:Adult; D000673:Amputation, Traumatic / Q000473:pathology / Q000601:surgery*; D001808:Blood Vessels / Q000637:transplantation*; D005260:Female; D005528:Foot / Q000098:blood supply; D006083:Graft Occlusion, Vascular / Q000517:prevention & control; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D013270:Stomach / Q000098:blood supply; D013927:Thrombosis / Q000517:prevention & control; D013933:Thumb / Q000293:injuries* / Q000473:pathology / Q000601:surgery; D014656:Vascular Surgical Procedures / Q000379:methods; D014945:Wound Healing