Related Experiment Videos
[Management of digital ischemia. 5 cases]
1Service de Traumatologie Orthopédie, Centre Hospitalier Général, Dunkerque.
Annales De Chirurgie De La Main Et Du Membre Superieur : Organe Officiel Des Societes De Chirurgie De La Main = Annals of Hand and Upper Limb Surgery
|January 1, 1991
Summary
Acute ischaemic fingers require emergency surgery for optimal recovery. Chronic cases depend on effective medical and surgical treatment for managing underlying conditions.
Area of Science:
- Vascular Surgery
- Microsurgery
Background:
- Ischaemic fingers, though typically chronic, can present acutely requiring urgent intervention.
- This study examines five cases, differentiating between acute and chronic presentations.
Observation:
- Acute ischaemia cases (3) were linked to cardiac arrhythmias (2) and ulnar artery aneurysm (1).
- Chronic ischaemia cases (2) were attributed to diabetes and Buerger's disease.
Findings:
- Acute cases treated with thrombectomy, microsurgical digital sympathectomy, and aneurysm resection achieved full recovery.
- Chronic cases received medical management followed by thoracic sympathectomy and necrotic tissue resection, with outcomes dependent on underlying disease severity.
Implications:
- Rapid correction of arterial obstruction and digital sympathectomy are crucial for acute ischaemic finger prognosis.
- Effective medico-surgical strategies are vital for managing chronic ischaemic fingers, considering underlying disease impact.