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Twelve Simple Maneuvers to Optimize Digital Replantation and Revascularization

Chang, James MD1; Jones, Neil MD2

Techniques in Hand & Upper Extremity Surgery: September 2004 - Volume 8 - Issue 3 - p 161-166
doi: 10.1097/01.bth.0000134711.75677.3b
TECHNIQUE
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Trauma can result in either complete amputation of fingers or devascularization of parts. Microsurgical techniques have made the salvage of devascularized digits possible. Although algorithms for digital replantation and revascularization exist, these procedures remain technically difficult and tedious. In multiple digit injuries, the complexity of replantation and revascularization is significantly increased. From our combined experience, we have found many “tricks” that have optimized digital replantation. In this paper, the current indications and contraindications for digital replantation and the technique of replantation are presented with specific reference to 12 simple maneuvers designed to maximize simplicity and efficiency.

1Department of Plastic Surgery

Stanford University Medical Center

Stanford, CA

2Department of Hand Surgery

UCLA Medical Center

Los Angeles, CA

Address correspondence and reprint requests to James Chang, MD, Associate Professor of Surgery [Plastic Surgery], Program Director, Plastic Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Stanford, CA 94305. E-mail: changhand@aol.com.

© 2004 Lippincott Williams & Wilkins, Inc.