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[Late revascularization for partial amputation of the thumb]
M Schoofs1, J L Bovet, J Amarante
1Unité de Chirurgie Plastique, Cliniques Universitaires Saint-Luc, Bruxelles, Belgique.
Summary
A thumb partial amputation was successfully revascularized after 18 hours of warm ischemia. This case highlights successful surgical repair in prolonged warm ischemia for thumb replantation.
Area of Science:
- Hand surgery
- Microsurgery
- Reconstructive surgery
Background:
- Thumb injuries pose significant challenges in reconstructive surgery.
- Revascularization of amputated digits is time-sensitive, especially under warm ischemia conditions.
Observation:
- A case of partial thumb amputation with intact nerve attachment is presented.
- The amputated thumb remained warm, indicating continued viability for a prolonged period.
Findings:
- Successful revascularization was achieved after 18 hours of warm ischemia.
- The operative technique employed facilitated the successful restoration of blood flow.
Implications:
- This case demonstrates the potential for successful replantation of partially amputated thumbs even after extended warm ischemia.
- Findings may inform surgical strategies for similar complex hand injuries, improving patient outcomes.