Clinical experience of distal finger replantation case report of 23 cases.docVIP

 PAGE \* MERGEFORMAT 9 Clinical experience of distal finger replantation case report of 23 cases Of: Du Zhijun Yao Junna Guoshao Yong Zhao Zuo Li Tianyu [Abstract] Objective This paper distal finger replantation of clinical experience. Conclusion finger replantation distal anastomosis survival is the key to the smooth, take a variety of venous reflux, patients should be closely observed, vascular crisis appeared to take timely measures to successful replantation is also very important. [Keywords:] Finger injuries Replantation Distal finger replantation is near the distal interphalangeal joints of the replantation of amputated fingertips distal finger replantation much the equivalent of 1 / 2 part of the replanted beyond. Fingers amputated distal mostly young workers, their function and appearance of the fingers demanding, a distal finger defects will be lost 45% of the finger function, with the improvement of microsurgical techniques, the survival rate of replantation distal increasingly high, as long as the finger distal refers to the physical integrity should be replanted, but survived after replantation distal sensory and motor function recovery and shape are nearly the finger better than the plane. Since 2003.3-2006.6 I replantation Section 28 refers to 23 cases of distal finger the survival rate was 85.7%, reported as follows. 1 Clinical data The group of 23 patients, 14 males and 9 females, aged 17 to 47 years with an average of 29 years. Including 1 case of 3 means the breaking of both distal and 3 cases of 2 refers to the distal amputation. Which fingertip replantation 19 cases. The causes of injury: injury in 9 cases stamping machine, electric saw injury in 3 cases, 2 cases of injury planer, Jishang 3 cases, 2 cases of dog bites, steel Sile injury in 2 cases, self-mutilation knife cut injuries in 2 cases. injury time to diagnosis after 0.5 to 5 hours, both underwent emergency replantation. surgical techniques: The brachial ple