A Global View of Digital Replantation and Revascularization.
Survival rates of digital replantation vary in different regions and countries, and Asian surgeons see more challenging cases and have developed some unique methods. Replantation of multiple digits in one or both hands can follow a structure-by-structure method or a digit-by-digit method. For replanting all 10 digits, 3 or 4 teams should be organized. Flow-through flaps, often venous flaps, can be taken from the distal forearm or lower extremity to repair defects of soft tissues and arteries. A pedicled digital artery flap from the adjacent digit can also repair tissue defects and supply blood to the replanted digit.
Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China. Electronic address: jinbotang@yahoo.com.
Jin Bo
JB
Tang
Department of Hand and Foot Surgery, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China.
Zeng Tao
ZT
Wang
Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, Jiangsu, China.
Jing
J
Chen
Department of Plastic and Reconstructive Surgery, The University of Manchester, Manchester, UK.
Jason
J
Wong
D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000601:surgery; D006801:Humans; D018579:Patient Selection; D019651:Plastic Surgery Procedures; D012092:Replantation; D013524:Surgical Flaps / Q000098:blood supply
Complex hand trauma; Digital replantation; Revascularization; Tissue defects in the hand; Wide-awake surgery