Mini replants: fingertip replant distal to the IP or DIP joint.
Amputations through the distal interphalangeal joint or distal to this joint are frequent and they represent probably one of the best indications for replantation. Details on the vascular anatomy of the fingertip have to be perfectly known by the surgeon who will have to deal with these replantations. Factors such as age, mechanism of amputation and type of anastomosis will influence the overall success rate of the procedure. Return of a true static two points discrimination can be observed in children even in the absence of any neural repair.
Dautel
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G
Hand Surgery Department, Nancy Medical School, Hôpital Jeanne d'Arc, 54201 Dommartin les Toul, France. gillesdautel@mac.com
Barbary
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S
D000293:Adolescent; D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D001158:Arteries / Q000601:surgery; D002648:Child; D062109:Dermatologic Surgical Procedures; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000294:innervation / Q000601:surgery; D006801:Humans; D008866:Microsurgery / Q000379:methods; D011182:Postoperative Care / Q000379:methods; D011183:Postoperative Complications; D012092:Replantation / Q000379:methods*; D012189:Retrospective Studies; D016896:Treatment Outcome; D014680:Veins / Q000601:surgery