Partial nail plate removal after digital replantation as an alternative method of venous drainage

Gordon, Lewis R.; Leitner, David W.; Buncke, Harry J.; Alpert, Bernard S.

doi:10.1016/s0363-5023(85)80035-6

Cited by 80 publications

(38 citation statements)

References 19 publications

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“…Gordon et al 19 devised the removal of the central wedge of the nail plate and heparinized saline gauze placement on the nail bed to continue the bleeding and reported that nail bed bleeding had diminished at 5 to 7 days after replantation. Han et al 20 used a continuous external bleeding technique through a stab incision on the paraungual area that is maintained by dripping a heparinized saline solution until an average 7.6 postoperative days; they reported a survival rate of 70% (101/144 digits).…”

Section: Technical Considerations For Venous Drainagementioning

confidence: 99%

Fingertip Replantation

Hattori

Doi

Sakamoto

et al. 2007

The Journal of Hand Surgery

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Section: Technical Considerations For Venous Drainagementioning

confidence: 99%

Fingertip Replantation

Hattori

Doi

Sakamoto

et al. 2007

The Journal of Hand Surgery

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“…21 Generally this treatment is required for at least 5 days before regrowth of the venous collateral vessels is adequate.…”

Section: Operative Techniquementioning

confidence: 99%

Replantation in children

1991

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The authors have replanted 162 parts in 120 children over the past 15 years. The youngest patient, undergoing successful replantation, was aged 7 months, 3 weeks. Unlike an adult, any child suffering a traumatic amputation should be considered for a possible replantation. Replantation should consist of minimal bone shortening to preserve epiphyseal plates, with repair of all severed structures. Longitudinal K-wires usually provide adequate fixation. Our survival rate for complete replantation in children under the age of 16 years is 77%. Long-term study showed that continued skeletal growth occurred and the digit attained 81% of normal longitudinal length at maturity. Recovery of sensibility in the replanted digit is nearly as good as for isolated digital nerve repair. Patient and parent satisfaction is high when replantation is successful, with uniform approval of the extensive effort required.

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“…There have been similar reports of thumb or multidigit replantations surviving without venous repairs [11,17]. Foucher et al used leeches to "artery only" replants for 5-6 days until dermal venous capillaries appeared to be established.…”

Section: Discussionmentioning

confidence: 98%

Use of the free prefabricated temporoparietal fascia-chondro-cutaneous flap nourished by only arterial inflow: an arterial flap

Barutçu¹

1994

Eur J Plast Surg

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Pedicled temporoparietal fascial flaps have been used extensively in head and neck reconstruction for many years. Also, the fascia has been grafted, and the skin graft transformed into a vascularized pedicled flap (prefabricated temporoparietal fasciocutaneous flap). On the other hand, some authors have used flee temporoparietal fascial flaps for defects that require to be filled in lower and upper extremity wounds. In this case, a free prefabricated temporoparietal fascio-chondro-cutaneous flap having only an arterial inflow was used in eyelid reconstruction.

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Partial nail plate removal after digital replantation as an alternative method of venous drainage

Cited by 80 publications

References 19 publications

Fingertip Replantation

Fingertip Replantation

Replantation in children

Use of the free prefabricated temporoparietal fascia-chondro-cutaneous flap nourished by only arterial inflow: an arterial flap

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