Yumiko Nakajima
Japan
Research Article
Our Strategy for Fingertip Amputation
Author(s): Hiroshi Ito, Mariko Mogami, Yumiko Nakajima and Hiroyuki SakuraiHiroshi Ito, Mariko Mogami, Yumiko Nakajima and Hiroyuki Sakurai
From January 2005 to December 2008, we treated 59 patients with a total of 67 complete fingertip amputations. By statistically analyzing these 67 cases, we reported that up to subzone III (Ishikawa’s subzone), replanted fingertips could survive with arterial anastomosis alone, and we established a new treatment strategy.
1. For cases with amputation levels subzones I to III, arterial anastomosis was performed under digital block and venous anastomosis if possible. If the venous anastomosis was not performed, care was taken to relieve postoperative congestion. General anesthesia was used in cases where the patient had difficulty in staying still, such as a child.
2. For cases with amputation levels more proximal than subzone IV, both arterial and venous anastomoses were performe.. View More»
