J Korean Soc Microsurg.
2009 May;18(1):27-30.
Clinical Experience of Finger Tip Amputation of Small Finger in 12-Months-Old: Use of the Technique of Artery-Only Anastomosis
- Affiliations
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- 1Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University, Korea. medi619@hanmail.net
Abstract
- PURPOSE
Recently, replantation of fingertip amputation, Zone I by Yamano classification, is still difficult because digital arteries branch into small arteries and also digital veins are hard to separate from the immobile soft tissue. However the replantation of fingertip in adults is a well-established procedure, but the replantation in infant or child is still uncommon. Therefore we present one case of replantation of the fingertip of the small finger in 12-months-old patient.
METHODS
We experienced a 12-months-old male amputation of small finger. It had been amputated completely at the level of Zone I by Yamano classification. Replantation was performed using the arteryonly technique with neither vein nor nerve repair. Because the artery has been damaged, it is still possible to make a direct suture by transposing the arterial arch in an inverted Y to I arterial configuration. Venous drainage was provided by an external bleeding method with partial nail excision and repaired margin for approximately 7 days.
RESULTS
We were performed replantation in infant with only-arterial anastomosis successfully, result in good recovery of aesthetic and functional outcome.
CONCLUSION
In conclusion, although fingertip injury was difficult to replantation in infant and child, we must try it. Because of its functional and cosmetic advantage.
