DORSAL APPROACH FOR VASCULAR REPAIRS IN DISTAL FINGER REPLANTATIONS

dc.contributor.authorKabakas, Fatih
dc.date.accessioned2024-07-18T20:40:02Z
dc.date.available2024-07-18T20:40:02Z
dc.date.issued2016
dc.departmentİstanbul Bilgi Üniversitesien_US
dc.description.abstractIntroduction: Distal finger replantations are technically difficult operations due to small vessel sizes and narrow field of vision. The results of 25 distal finger replantations performed by dorsal approach are presented. The technical benefits and details of this technique is discussed with a literature review. Patients and methods: Twenty-five distal finger replantations were performed by dorsal approach. In dorsal approach volar skin was repaired first and arterial and venous repairs were performed from dorsal side before bone fixation and nailbed repair. Twenty-one cases were Tamai zone I amputations 4 cases were Tamai zone II amputations. 3 amputations were in children and the other patients were adults. Nine amputations were transverse type and the others were oblique amputations. Results: Twenty-three fingers survived and 2 fingers were lost despite revision surgeries (92% success rate). Dorsal approach provided about 2 times wider exposures compared to the volar approach. Fourteen patients had external bleeding to prevent congestion. Mean duration of external bleeding was 6.8 days (range, 6 - 8 days). Mean hospitalization period was 7.7 days (range, 6 - 10 days). The mean follow up period was 13 months (range, 6 - 28 months). Six patients had nail deformity. Four patients had pulp atrophy. Three patients had restriction of range of motion in distal interphalangeal joint. Conclusion: Dorsal approach provides a better exposure of vessel repair sites without tension and helps in technical difficulties of distal finger replantation. All types of distal finger amputations are amenable to dorsal approach for vascular repairs and oblique amputations are ideal ones. (C) 2016 Wiley Periodicals, Inc.en_US
dc.identifier.doi10.1002/micr.30057
dc.identifier.endpage636en_US
dc.identifier.issn0738-1085
dc.identifier.issn1098-2752
dc.identifier.issue8en_US
dc.identifier.pmid27062183en_US
dc.identifier.scopus2-s2.0-84963877253en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage628en_US
dc.identifier.urihttps://doi.org/10.1002/micr.30057
dc.identifier.urihttps://hdl.handle.net/11411/6943
dc.identifier.volume36en_US
dc.identifier.wosWOS:000393131500002en_US
dc.identifier.wosqualityQ2en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherWiley-Blackwellen_US
dc.relation.ispartofMicrosurgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDigital Replantationen_US
dc.subjectAmputationen_US
dc.subjectOutcomesen_US
dc.subjectPhalanxen_US
dc.titleDORSAL APPROACH FOR VASCULAR REPAIRS IN DISTAL FINGER REPLANTATIONSen_US
dc.typeArticleen_US

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