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Successful replantation of four fingers by a single common digital artery anastomosis

✍ Scribed by Dr. Junji Nakamura; Yukihiro Kinoshita; Hiroki Hama; Yoshiro Ishimori; Shoji Kasai


Publisher
John Wiley and Sons
Year
1980
Tongue
English
Weight
422 KB
Volume
2
Category
Article
ISSN
0738-1085

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✦ Synopsis


Abstract

The replantation of 4 digits of 1 hand was attempted in a patient who had completely amputated his fingers at the level of the metacarpophalangeal joints. Anastomosis of the severed ends of the third common volar digital artery proved to be successful not only in re‐establishing arterial circulation in the middle and ring fingers but also in the index and little fingers, as evidenced by survival of the digits and as evaluated by postoperative angiography. The reasons for this success are discussed in light of anatomic studies.