Document Detail

The primary use of venous grafts in thumb replantation.
MedLine Citation:
PMID:  16265944     Owner:  NLM     Status:  MEDLINE    
The authors describe modified thumb replantation technique. With this technique it is possible to avoid extensive mobilization of the digital arteries as well as incisions, particularly at the distal thumb phalanx, and therefore reduce further damage of the amputated part. Prior to the osteosynthesis a venous graft is harvested from the distal forearm or from the thenar area. Anastomosis between the venous graft and radial digital artery on the amputated part of the thumb is completed. Osteosynthesis of the bones with Kirchner wires follows. The venous graft is further anastomosed to the dorsal venous system of the stump. The arterial system is reconstructed with an anastomosis of the ulnar digital artery with a superficially positioned volar vein of the amputated part. The replantation technique described has proved effective in all cases when it was used.
A Sukop; M Tvrdek; R Kufa
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Acta chirurgiae plasticae     Volume:  47     ISSN:  0001-5423     ISO Abbreviation:  Acta Chir Plast     Publication Date:  2005  
Date Detail:
Created Date:  2005-11-03     Completed Date:  2005-11-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370301     Medline TA:  Acta Chir Plast     Country:  Czech Republic    
Other Details:
Languages:  eng     Pagination:  103-6     Citation Subset:  IM    
Department of Plastic Surgery, University Hospital Královské Vinohrady, 3rd Faculty of Medicine, Charles University, Prague, Czech Republic.
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MeSH Terms
Anastomosis, Surgical
Hand Injuries / surgery*
Middle Aged
Replantation / methods*
Thumb / blood supply*,  injuries*
Vascular Surgical Procedures / methods*
Veins / surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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