Arch Reconstr Microsurg.  2016 May;25(1):12-14. 10.15596/ARMS.2016.25.1.12.

Venous Anastomosis with Dorsal Veins Using Additional Incisions after Wound Closure in Metacarpophalangeal Joint Level Replantation

• Cho SH
• Bahar-Moni AS
• Whang JI
• Seo HG
• Park HS
• Kim JS
• Park HC

• KMID: 2307778
• DOI: http://doi.org/10.15596/ARMS.2016.25.1.12

Abstract

In cases of replantation, accurate closure of all structures, including bone, tendons, arteries, nerves, and veins is essential. Among these, the vein is a weaker structure and is damaged severely in most amputation cases. After fixation of bone, repair of tendons, nerves, and arteries, surgeons often experience difficulty in performing venous anastomoses. We found that in such cases, venous anastomosis is easy to perform using an additional incision after closure of the original wound. In a 33-year-old male patient with amputation of all four fingers at the metacarpophalangeal joint level, venous anastomoses were performed with dorsal veins using additional incisions after completion of the fixation of bones and repair of all other structures and closure of the skin due to surgical site tension.

Keyword

Metacarpophalangeal joint; Amputation; Vein

MeSH Terms

Adult
Amputation
Arteries
Fingers
Humans
Male
Metacarpophalangeal Joint*
Replantation*
Skin
Surgeons
Tendons
Veins*
Wounds and Injuries*