A novel technique for distal fingertip replantation: Polypropylene suture guided interpositional vein graft.

Abstract:

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. CONCLUSION:This technique may ease fingertip replantations and increase the success rate for Tamai zone 1 injuries.

journal_name

J Plast Surg Hand Surg

authors

Dadaci M,Ince B,Altuntas Z,Bitik O,Uzun H,Bilgen F

doi

10.3109/2000656X.2015.1041968

subject

Has Abstract

pub_date

2015-10-01 00:00:00

pages

280-283

issue

5

eissn

2000-656X

issn

2000-6764

journal_volume

49

pub_type

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