TY - JOUR
T1 - A Global View of Digital Replantation and Revascularization
AU - Wong, Jason
N1 - Funding Information:
We acknowledge the following expert replantation surgeons who provided their insight and cases that are included in this review: Jing Chen, MD, Affiliated Hospital of Nantong Unviersity, Jiangsu; Wu Li Yang, MD, Changde Orthopedic Hospital, Hunan; Shusen Cui, MD, Jilin China-Japan Friendship Hospital of Jilin University, Jilin; Jian Xi Hou, MD, Renji Traumatology and Microsurgery Hospital, Zhengzhou, Henan; Li Shan Zhang, MD, Lin Feng Liu, MD, Shandong Provincial Hospital, Jinan; Yi Ming Cai, MD, Shanghai Sixth People's Hospital, Shanghai; Xiao Zhou, MD, Wuxi Ninth People's Hospital, Jiangsu; Jin Liang Zhang, MD, Sunde Heping Surgical Hospital, Fushan, Guangdong, China. The contributors? names are also printed in the figure legends.
Publisher Copyright:
© 2020 Elsevier Inc.
PY - 2020/10/1
Y1 - 2020/10/1
N2 - Survival rates of digital replantation vary in different regions and countries, and Asian surgeons see more challenging cases and have developed some unique methods. Replantation of multiple digits in one or both hands can follow a structure-by-structure method or a digit-by-digit method. For replanting all 10 digits, 3 or 4 teams should be organized. Flow-through flaps, often venous flaps, can be taken from the distal forearm or lower extremity to repair defects of soft tissues and arteries. A pedicled digital artery flap from the adjacent digit can also repair tissue defects and supply blood to the replanted digit.
AB - Survival rates of digital replantation vary in different regions and countries, and Asian surgeons see more challenging cases and have developed some unique methods. Replantation of multiple digits in one or both hands can follow a structure-by-structure method or a digit-by-digit method. For replanting all 10 digits, 3 or 4 teams should be organized. Flow-through flaps, often venous flaps, can be taken from the distal forearm or lower extremity to repair defects of soft tissues and arteries. A pedicled digital artery flap from the adjacent digit can also repair tissue defects and supply blood to the replanted digit.
KW - Complex hand trauma
KW - Digital replantation
KW - Revascularization
KW - Tissue defects in the hand
KW - Wide-awake surgery
UR - http://dx.doi.org/10.1016/j.cps.2020.06.002
UR - http://www.scopus.com/inward/record.url?scp=85090376112&partnerID=8YFLogxK
U2 - 10.1016/j.cps.2020.06.002
DO - 10.1016/j.cps.2020.06.002
M3 - Article
SN - 0094-1298
VL - 47
SP - 437
EP - 459
JO - Clinics in Plastic Surgery
JF - Clinics in Plastic Surgery
IS - 4
ER -