[Clinical efficacy of non-microsurgical treatment for mostly-isolated finger with its bilateral arteria injury].
OBJECTIVE
To explore a method to treat the mostly-isolated finger with its bilateral arteria injury without microsurgery.


METHODS
To avoid exacerbating iatrogenically the wound, the methods of therapy mainly included the following procedures: debriding carefully, suturing the cutis and subcutaneous layer to fix internally the fracture without Kirschner wire, and not suturing the broken finger nerve or the broken tendon which had rebound. It was used in the emergency operation. After operation, heat therapy and Anisodamine were used to dilate capillary and micrangium of the unbroken soft tissue of the wounded finger, which was anatomically the only base of blood supply of pars of the wounded finger.


RESULTS
In the 34 cases, main blood supply of the wounded finger was restored. The wound healed well in 28 cases. In 6 cases of necrosis in the edge of the wound, the necrosis were excised and the cicatricial healing was achieved. In 31 patients followed up, after the fracture had healed, the nerve and tendon were repaired.


CONCLUSIONS
The methods above should be available for the mostly-isolated finger, especially in a hospital without microsurgery.
Zhang
Hai-peng
HP
Department of Traumatic Surgery, Zhuolu Hospital, Zhuolu, Hebei, P. R. China, 075600.
Wang
Rong-ming
RM
Zhu
Ying-bo
YB
D000293:Adolescent; D000328:Adult; D003646:Debridement; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery*; D006801:Humans; D008297:Male; D008833:Microcirculation; D008875:Middle Aged; D011182:Postoperative Care / Q000379:methods; D012189:Retrospective Studies; D013708:Tendon Injuries / Q000601:surgery*; D016896:Treatment Outcome; D014945:Wound Healing