Digital replantation. Using the ninety-ninety intraosseous wiring technique.
1. In ninety-ninety intraosseous wiring, two 26-gauge intraosseous wires are placed perpendicular to each other through bone. This technique requires slight exposure to obtain rigid fixation, and the patient can expect relatively unhindered rehabilitation using early digit motion. 2. Because the procedure is long and tedious, two surgical teams, each with its own circulating and scrub nurses, are preferred. 3. Ninety-ninety intraosseous wiring is less prominent than plates or screws, it has less risk that adhesions will develop, and, theoretically, less bone is devascularized.
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D000328:Adult; D001864:Bone Wires; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D009984:Orthopedic Fixation Devices; D012092:Replantation / Q000379:methods*; D013710:Tendons / Q000601:surgery; D014021:Tissue Preservation