Distal fingertip replantation without skeletal fixation.
The replantation of fingertip amputation (through the nail bed) requires repair of the artery and vein on the palmar side. These structures are present in different planes, with the artery being deeper and the veins superficial. The authors believe that vascular repair in such cases is facilitated by stabilization of the amputated part by nail-bed repair alone. This provides a certain degree of flexibility, which allows for easier placement of clamps in the limited space available. Although Kirschner wires were not used for bony fixation, bony union was achieved in all five cases in which this technique was used.
Sabapathy
S Raja
SR
Department of Plastic, Hand, and Reconstructive Microsurgery, Ganga Hospital, Coimbatore, India.
Venkatramani
Hari
H
Bharathi
R Ravindra
RR
Sebastin
Sandeep J
SJ
D000673:Amputation, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D003250:Constriction; D005383:Finger Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011859:Radiography; D012092:Replantation / Q000379:methods*