O refers to arterial switch method in avulsion of finger replantation.doc

 PAGE \* MERGEFORMAT 9 O refers to arterial switch method in avulsion of finger replantation Author: Zhang Jian-Xin Zhou Hua Hu Ying-wen Shi Fu radius Keywords: mean arterial switch adjacent avulsion of finger replantation France In recent years, a variety of special damage types of finger replantation success rate has been significantly improved. Avulsion from the past, broken blood vessels that can not be used in line, but with the micro-hand surgery techniques improve, so a lot of avulsion amputation of the replantation success. Our hospital since 2003, in the avulsion replantation of a shift in the use of vascular approaches to the revegetation has been successful, have a good appearance and function. A clinical data 1.1 General Information From July 2003 to March 2008, the Court treated 15 cases (18 index) finger blood vessels tear off from the patients were male and 10 cases (13 index), female 5 cases (5 fingers), age 16 to 50 years old ( an average of 31 years). Injury due to: Net 12 means the rope twisting injury, smashing pressure avulsion of 4 means that the machine twist injury two means. Do not refer to: thumb 9 refers to food, the middle finger of all three means that ring finger 2 refers to a refers to the little finger. Amputated plane: distal 8 refers to the section 6 refers to the last section 4 refers to. 15 cases with 6 cases of distal skin avulsion. The patients all the merger means a blood vessel, nerve proximal extract, and 1 distal vascular injury. 1.2 surgical In the brachial plexus anesthesia, pneumatic tourniquet on the upper limbs, conventional debridement, the first body from the finger probe wound at that the inherent blood vessels, nerves, particularly in remote refers to vascular, neurological conditions, and to significantly damage the arteries, nerve resection, and then reset the first phalanx with Kirschner wire fixation. At 8 times the surgical debridement under a microscope,