Primary neurovascular bundle transfer in the management of avulsed thumbs

Lobay, Gary W; Moysa, Gerry L.

doi:10.1016/s0363-5023(81)80007-x

Cited by 31 publications

(11 citation statements)

References 3 publications

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“…This method is well-known in thumb replantation [22][23][24][25] and has been reported in the management of ring avulsion injuries as well. 7,26 Of course, the digital Allen test to the middle finger must be intact.…”

Section: Discussionmentioning

confidence: 99%

Long-Term Results of Replantation for Complete Ring Avulsion Amputations

Adani

Marcoccio

Castagnetti

et al. 2003

Annals of Plastic Surgery

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Ring avulsion injuries have long presented complex management problems. Despite microsurgical advances, it is difficult to achieve good functional results in complete degloving injuries or amputations, and their management remains somewhat controversial. Ten patients with class IV injuries according to Kay's classification were treated from 1986 to 2000. In this study the authors subdivided class IV injuries into those with amputation distal to the insertion of the flexor digitorum superficialis tendon (class IVd, 5 cases); those with amputation proximal to the insertion of the flexor digitorum superficialis tendon (class IVp, 3 cases); and complete degloving injuries leaving the tendons intact (class IVi, 2 cases). Replantation was done in class IVi and class IVd injuries, and 6 cases were revascularized successfully. In all these patients range of motion was complete at the metacarpal and proximal interphalangeal joints, but reestablishing sensibility was more difficult. Patients with class IVp injuries were treated by surgical amputation of the digit. Modifications of Kay's classification system based on anatomic injury is more predictive of functional outcome for completely amputated ring avulsion injuries. The authors conclude that complete ring avulsion amputations are salvageable, with acceptable functional results in select patients.

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Section: Discussionmentioning

confidence: 99%

Long-Term Results of Replantation for Complete Ring Avulsion Amputations

Adani

Marcoccio

Castagnetti

et al. 2003

Annals of Plastic Surgery

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“…In 18 patients, we transferred the ulnar artery from the DIP joint of the middle finger to provide arterial inflow. This technique guaranteed long vessel length 44,45 and allowed for a vascular suture in the distal phalangeal pulp of the ring finger. 46,47 It also shortened the operative time by reducing the number of anastomoses and decreases the vessel size discrepancy.…”

Section: Discussionmentioning

confidence: 97%

Results of Replantation of 33 Ring Avulsion Amputations

Adani

Pataia²,

Tarallo³

et al. 2013

The Journal of Hand Surgery

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“…This technique was first proposed by Doi 13 for a case of an avulsion amputation of the thumb and subsequently elaborated for use in digital avulsion amputations. 14,15 The heterodigital vascular island flap overcomes many of the disadvantages of the other techniques. It is in the same surgical field, and carries with it a robust arterial vessel of suitable caliber from outside of the zone of injury.…”

Section: Discussionmentioning

confidence: 99%

Heterodigital Vascular Island Flap for Simultaneous Resurfacing and Revascularization of Digits

Wong¹,

Kiat²,

Sebastin³

et al. 2009

Annals of Plastic Surgery

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Devascularized digits with segmental skin and vessel loss require revascularization and resurfacing. This can be addressed by using a heterodigital vascular island flap. This flap brings with it an appropriately sized pristine artery of optimal length for revascularization and provides simultaneous skin cover. We describe 3 cases. Primary wound healing was achieved in all patients with good functional recovery and acceptable donor site morbidity. We compare the options available for reconstructing such defects and discuss other possible surgical indications for this flap.

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Primary neurovascular bundle transfer in the management of avulsed thumbs

Cited by 31 publications

References 3 publications

Long-Term Results of Replantation for Complete Ring Avulsion Amputations

Long-Term Results of Replantation for Complete Ring Avulsion Amputations

Results of Replantation of 33 Ring Avulsion Amputations

Heterodigital Vascular Island Flap for Simultaneous Resurfacing and Revascularization of Digits

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