Fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision.
Four cases of fingertip replantation using a single volar arteriovenous anastomosis and drainage with a transverse tip incision are reported. Because of lack of suitable arteries for anastomosis in the amputated finger, in each case a volar radial vein was anastomosed to the proximal digital artery and external drainage was performed through a transverse tip incision. In 3 cases the replanted fingertip survived completely; partial necrosis occurred in 1 case. Because veins are more superficial and larger than arteries, they are more available for anastomosis. The results indicate that this method is a useful alternative in fingertip replantation.
Yabe
T
T
Department of Plastic and Reconstructive Surgery, Ishikiri-seiki Hospital, Osaka, Japan.
Muraoka
M
M
Motomura
H
H
Ozawa
T
T
D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D000714:Anastomosis, Surgical / Q000379:methods; D001158:Arteries / Q000601:surgery; D004322:Drainage / Q000379:methods; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012092:Replantation / Q000379:methods*; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery