[Use of volar veins in finger replantation].
The number and the location of the venous anastomosis in finger replantation are discussed. The principle: 'two veins for one artery' has been given up in favour to do only one venous anastomosis. A vein on the palmar side should be preferred. Here the anastomosis is protected by a thicker layer of subcutanous tissue. In addition this technique allows to do the total vascular reconstruction without turning the hand. In a number of 84 finger replantations there was a failure rate of 9,5% by using only one vein for replantation. In 17 finger replantations using one volar vein we lost only one finger (5.9%).
D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply*; D006801:Humans; D008866:Microsurgery / Q000379:methods*; D012092:Replantation / Q000379:methods*; D014680:Veins / Q000601:surgery; D014945:Wound Healing
Die Verwendung volarer Venen zur Fingerreplantation.