title: [Fingertip replantation with anastomosis of palm vein and retaining the nail].
abstract: OBJECTIVE
  To study the replantation methods and clinical results of amputated fingertip.
  
  
  METHODS
  From October 2007 to June 2011, 18 fingers of 13 cases were replanted with anastomosis of palm vein and retaining the nail, including 9 males and 4 females,with an average age of 26 years old ranging from 17 to 45 years old. The time from injury to therapy was from 30 min to 5 h, time of broken finger ischemia was from 1.5 to 7 h. All broken fingers were preservation under normal temperature.
  
  
  RESULTS
  All fingers were survived, no vascular crisis happened. All cases were followed up from 3 to 24 months with an average of 14 months. The length and shape of replanted fingers were similar to that of the healthy side. The new nails were smooth, the function was perfect,the sense of pain and touched sensation had been recovered. Their two-piont discriminations ranged from 3 to 6 mm with an average of 5 mm. According to the assessment standard of Chinese Medical Association of Hand Surgery, the results were excellent in 14 cases, good in 3 cases, poor in 1 case.
  
  
  CONCLUSIONS
  Fingertip replantation with anastomosis of palm vein and retaining the nail is regained satisfactory appearance and function of the digits with a high survival rate.
authors.affiliation: Department of Hand Surgery, Ningbo Mingzhou Hospital of Yinzhou, Ningbo 315100, Zhejiang, China.
authors.forename: Xiang
authors.initials: X
authors.lastname: Wang
authors.forename: Wei-Kai
authors.initials: WK
authors.lastname: Zhang
authors.forename: Shao-Meng
authors.initials: SM
authors.lastname: Yin
authors.forename: Hai-Bing
authors.initials: HB
authors.lastname: Wang
authors.forename: Tao
authors.initials: T
authors.lastname: He
authors.forename: Yong-Qing
authors.initials: YQ
authors.lastname: Gong
authors.forename: Guo-Ming
authors.initials: GM
authors.lastname: Zhu
authors.forename: Gen-Lian
authors.initials: GL
authors.lastname: Mao
authors.forename: Ming-Xing
authors.initials: MX
authors.lastname: Hu
authors.forename: Jian
authors.initials: J
authors.lastname: Li
mesh_terms: D000293:Adolescent; D000328:Adult; D000714:Anastomosis, Surgical / Q000379:methods*; D005260:Female; D005385:Fingers / Q000601:surgery*; D006225:Hand / Q000098:blood supply*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009262:Nails / Q000601:surgery*; D012092:Replantation / Q000379:methods*; D014680:Veins / Q000601:surgery; D055815:Young Adult