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Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Updated: May 6, 2026

Vascularized Composite Hand Allograft Procurement and Preparation for Distal and Proximal Forearm Allotransplantation: A Stepwise Approach
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Distal digital replantation.

Leila Jazayeri1, Jill Q Klausner, James Chang

  • 1Stanford and Los Angeles, Calif. From the Division of Plastic and Reconstructive Surgery, Stanford University Hospital and Clinics, and the David Geffen School of Medicine at the University of California, Los Angeles.

Plastic and Reconstructive Surgery
|October 30, 2013
PubMed
Summary
This summary is machine-generated.

Distal digital replantation offers high survival and excellent functional and aesthetic outcomes, challenging previous hesitations. Specialized microsurgical centers achieve superior results for fingertip injuries.

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Area of Science:

  • Microsurgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Distal digital replantation historically faced challenges and perceived low benefit-to-cost ratio.
  • Recent studies indicate high survival rates and excellent functional/aesthetic outcomes, renewing interest.

Purpose of the Study:

  • To review literature on surgical treatment, perioperative care, and outcomes of distal digital replantation.
  • To detail techniques and considerations for repair in four defined distal zones.

Main Methods:

  • Literature review summarizing key aspects of distal digital replantation.
  • Description of zone-specific surgical techniques (Sebastin and Chung classification).

Main Results:

  • Zone-specific techniques vary, from artery-only anastomosis in Zone 1A to artery, vein, and nerve repair in Zone 1D.
  • Survival rates are comparable to proximal replantation.
  • Good outcomes reported for nail salvage, sensibility, range of motion, length, and aesthetics.

Conclusions:

  • Specialized microsurgical centers achieve good survival, function, patient satisfaction, and superior aesthetic outcomes in distal digital replantation.
  • Further prospective data needed on cost, psychological, and functional outcomes versus revision amputation.