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Replantation of Multi-section Severed Fingers

  • Jian Lin
  • He-Ping Zheng
  • Yong-Qing Xu
  • Tian-Hao Zhang
Chapter

Abstract

A finger severed with two or more planes on its vertical axis is called a multi-section severing or multi-plane severing. Replantation of a multi-section severed finger is one of the most serious types. There is more than one anastomotic stoma in the same finger and if an embolism occurred in any one of them, partial necrosis or total necrosis is inevitable, and the risk of a vascular crisis is greatly increased. It is by no means a simple accumulation of single-section replantation, it is uncommon clinically, and it is caused by cutting machines and punch failure. The different position of hand, the shape of the cutting tool, and the speed of the machine will cause different injuries. Multi-section replantation develops based on single-section replantation and it is of the difficulty of hand surgery because of the serious injury, complex conditions, multiple surgical sites, greater difficulty, higher technical requirements, and longer operation time. In most cases, such patients will accept stump revision, which greatly affects the appearance and function. However, in the highly developed microsurgery of today, if the severed tissue is relatively complete, replantation should be considered.

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Jian Lin
    • 1
  • He-Ping Zheng
    • 2
  • Yong-Qing Xu
    • 3
  • Tian-Hao Zhang
    • 1
  1. 1.Department of Orthopaedic SurgeryXin-hua Hospital (ChongMing)ShanghaiChina
  2. 2.Clinical Anatomic CenterNanjing District General Hospital of PLAFuzhouChina
  3. 3.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina

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