Study of the arterial patterns of the hand in Macaca fuscata, especially those of the deep palmar arterial arches and their correlating arteries, by three-dimensional arteriographic analysis revealed the following: (1) The deep palmar arterial arches are formed by the perforating branches of the 2nd dorsal metacarpal artery, and they are usually composed of two proximal arches (catella volaris proximalis and arcus volaris profundus) and one distal arch (catella volaris distalis). (2) In the 3rd and 4th metacarpal interosseous spaces, the intermetacarpal arteries arise from the catella volaris proximalis, and the arcus volaris profundus has palmar metacarpal arteries which descend along the palmar side of each metacarpal bone. (3) There is a definite regularity in the formation of the intermetacarpal arteries between the catella volaris proximalis and the catella volaris distalis and of the palmar metacarpal arteries between the arcus volaris profundus and the catella volaris distalis.
In most cases where digits have been amputated by avulsion and the digital nerve extensively injured, primary nerve suture cannot be performed. For such a digit when replanted, secondary nerve grafting was done under the operating microscope using a lateral femoral cutaneous nerve. Two years after operation, two-point discrimination of these cases proved to be 10.5 mm on average. And in the case of the transplanted three strand cable graft, using a lateral femoral cutaneous nerve yielded the most favourable results. The replacement was superior to the side receiving primary crushed nerve suture. Sensory nerve action potentials indicate that the regenerated nerve does not necessarily mature sufficiently. The recovery of sensitivity even to this degree however was sufficient for the replanted digits to be useful in all cases.
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