Twelve simple maneuvers to optimize digital replantation and revascularization

Techniques in Hand & Upper Extremity Surgery
James Chang, Neil Jones

Abstract

Trauma can result in either complete amputation of fingers or devascularization of parts. Microsurgical techniques have made the salvage of devascularized digits possible. Although algorithms for digital replantation and revascularization exist, these procedures remain technically difficult and tedious. In multiple digit injuries, the complexity of replantation and revascularization is significantly increased. From our combined experience, we have found many "tricks" that have optimized digital replantation. In this paper, the current indications and contraindications for digital replantation and the technique of replantation are presented with specific reference to 12 simple maneuvers designed to maximize simplicity and efficiency.

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Citations

Oct 25, 2008·Cases Journal·Mohammed Murshid Salah, Khalid N Khalid
Jul 6, 2014·Clinics in Plastic Surgery·Reuben A BuenoPierluigi Tos
Apr 11, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·M El-DiwanyA M Danino
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Jan 19, 2019·Plastic and Reconstructive Surgery. Global Open·Clifton G Meals, James Chang
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Sep 25, 2020·Plastic and Reconstructive Surgery·Sang Ho KwakYong Jin Kim
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Sep 29, 2021·Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft für Mikrochirurgie der Peripheren Nerven und Gefässe : Organ der Vereinigung der Deut·Andrea Leti AcciaroRoberto Adani

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