Use of superficial palmar arch for bridging the gap in digital revascularisation

Traumatic hand injuries resulting in segmental loss of common digital artery are not uncommon. To bridge the gap and repair of transected common digital artery, the superficial palmar arch could be divided proximally on radial side and turned distally to the common digital artery for revascularisation. Revascularisation of the transversely crushed common digital artery can be performed based solely on superficial palmar arch for revascularisation of the segmental loss of common digital artery. However, because of known variability in the palmar arch, intraoperative verification is needed to ensure safe transfer of arch.