A novel technique for distal fingertip replantation: Polypropylene suture guided interpositional vein graft.
BACKGROUND
Despite current advances in microsurgery, fingertip replantation is still controversial, mainly due to its difficulty and cost. The purpose of this study is to describe a new technique of interposition vein graft guided by polypropylene suture in distal fingertip replantation.


METHODS
A total of eight consecutive Tamai zone 1 fingertip replantations performed by the same author were included. All replantations were performed using interposition vein graft guided by polypropylene suture. This technique involved a vein graft of ∼ 2 cm, with appropriate calibration, obtained from the volar part of the forearm and a 2-0 polyprolene suture passed through the interposition vein graft. Then, a polypropylene suture guide carrying the vein graft was inserted into the artery. The anastomosis was easily performed with the aid of 10-0 or 11-0 nylon in a bloodless medium and without encountering the posterior wall problem.


RESULTS
Average surgery time was 2.5 hours (range = 2-3 hours). Among eight Tamai zone 1 replantations, six were successful (75%). There were two replantations lost because of arterial failure.


CONCLUSIONS
This technique may ease fingertip replantations and increase the success rate for Tamai zone 1 injuries.
a 1 Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University , Konya, Turkey.
Mehmet
M
Dadaci
a 1 Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University , Konya, Turkey.
Bilsev
B
Ince
a 1 Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University , Konya, Turkey.
Zeynep
Z
Altuntas
b 2 Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University , Ankara, Turkey.
Ozan
O
Bitik
b 2 Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Hacettepe University , Ankara, Turkey.
Hakan
H
Uzun
c 3 Clinic of Plastic, Reconstructive and Aesthetic Surgery, Elbistan State Hospital , Kahramanmaras, Turkey.
Fatma
F
Bilgen
Fingertip replantation; interposition vein graft; polypropylene suture