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Replantation of a Completely Amputated Thumb with Assistance of High-Speed Video Recording

Li, Xingwei, MD1,*; Zhu, Xiaozhong, MD1,*; Zhu, Hongyi, MD1; Zhang, Changqing, MD1; Chai, Yimin, MD1; Zheng, Xianyou, MD1

JBJS Essential Surgical Techniques: June 25, 2019 - Volume 9 - Issue 2 - p e12
doi: 10.2106/JBJS.ST.18.00027
Subspecialty Procedures

Background: Generally, surgeons assess the quality of vascular anastomosis in digit replantation on the basis of their experience.

Description: The steps for replantation of a completely amputated thumb, with assistance of high-speed video recording, consist of (1) debridement, (2) fixation, (3) tendon suture, (4) anastomosis, and (5) wound closure1,2.

Alternatives: Revision amputation or flap coverage.

Rationale: With the assistance of high-speed video recording, the refilling velocity ratio (RVR) is an objective index for the quality assessment of the vascular anastomosis.

1Department of Orthopaedic Surgery, Shanghai Jiaotong University Affiliated Sixth People’s Hospital, Shanghai, People’s Republic of China

E-mail address for X. Zheng:

*Xingwei Li, MD, and Xiaozhong Zhu, MD, contributed equally to this work.

Disclosure: The authors indicated that no external funding was received for any aspect of this work. The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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