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Four finger amputation injuries. Concept of treatment
U Lanz1, H Krimmer, J Vispo-Seara
1Department of Hand Surgery, University Clinic, Würzburg, Germany.
Abstract:
Fourteen patients with an amputation injury of four fingers are reported. Fifty-one of these 56 fingers were replanted with a survival rate of 88%. To achieve optimal results replantation of all fingers should be attempted. Dividing the operative procedure into a macrosurgical and a microsurgical part helps to economize both tourniquet time and total operative time. In case of arterial spasm or other difficulties to reestablish blood flow, a check list can be of great value. To achieve good results in such severe and difficult procedures a special organisation of replantation centers is needed.