Mangled finger salvage using cross-finger revascularization

Journal of Orthopaedic Surgery and Research

Yimin Chai¹  Liang Cheng²  Song Chen²  Gen Wen² 

[1] Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital;Department of Orthopedics, Shanghai Sixth People’s Hospital East Affiliated to Shanghai University of Medicine & Health Sciences;

关键词: Replantation;    Cross-finger revascularization;    Microsurgery;   

DOI  :  10.1186/s13018-020-01621-w

来源: DOAJ

【 摘 要 】

Abstract Background Mangled finger with impaired arteria digitalis communis remains to be a challenge for replantation surgery due to the limited amount of tissue to work with. Methods Out of 554 hands with total finger amputations treated by replantation of finger/fingers from July 2012 to June 2018, there were 7 cases of damaged arteria digitalis communis, all of which were replanted by anastomosing distal adjacent radial/ulnar digital artery to distal end of ulnar/radial digital artery of amputation finger, and 2 veins were anastomosed for each finger. A skin pedicle was made by suturing both dorsal and palmar skin of adjacent fingers, and detachment was performed 4 weeks postoperatively. Results The survival rate was 100%. Mean total active motion was 191.4° (ranging from 170 to 220°). Mean 2-point discrimination was 8 mm static (ranging from 6 to 11 mm), and mean grip strength was 35.3 kg (range, 29 to 40 kg). Conclusions Based on our experience, cross-finger revascularization is an effective and safe alternative for mangled finger salvage when arteria digitalis communis is damaged, and good functional prognosis can be expected.

【 授权许可】

Unknown