Abstract:
UNLABELLED:The purpose of the study was to evaluate the fate of the digital arterial anastomoses, resting total digit blood flow, and cold-induced discomfort following digital replantation with two repaired arteries. The evaluation was done with a Doppler ultrasound of the anastomoses, temperature recording from the finger pulp at room temperature, and a questionnaire regarding the patient's impression of cold-induced discomfort. At the 2-year follow-up all anastomoses were patent, but in two of the six patients one anastomosis was occluded at the 12-year follow-up. The replanted digits generally showed lower skin temperatures compared with controls at the 2-year follow-up but these had normalized 10 years later, even in digits with one of the two repaired arteries occluded. The number of patients with severe cold-induced discomfort was unchanged during the observation period. CONCLUSION:The digital flow continues to increase after the first 2 years after replantation and may reach normal levels at room temperature; however, cold-induced discomfort is not normalized. Total blood flow improvement is not affected by late arterial occlusion.
journal_name
Microsurgeryjournal_title
Microsurgeryauthors
Povlsen B,Nylander G,Nylander Edoi
10.1002/micr.1920160304subject
Has Abstractpub_date
1995-01-01 00:00:00pages
138-40issue
3eissn
0738-1085issn
1098-2752journal_volume
16pub_type
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