A novel technique for distal fingertip replantation: Polypropylene suture guided interpositional vein graft


Dadaci M., Ince B., Altuntas Z., Bitik O., UZUN H., BILGEN F.

JOURNAL OF PLASTIC SURGERY AND HAND SURGERY, vol.49, no.5, pp.280-283, 2015 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 49 Issue: 5
  • Publication Date: 2015
  • Doi Number: 10.3109/2000656x.2015.1041968
  • Journal Name: JOURNAL OF PLASTIC SURGERY AND HAND SURGERY
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.280-283
  • Keywords: Fingertip replantation, interposition vein graft, polypropylene suture, ZONE I REPLANTATION, ARTERY
  • Hacettepe University Affiliated: Yes

Abstract

Background: Despite current advances in microsurgery, fingertip replantation is still controversial, mainly due to its difficulty and cost. The purpose of this study is to describe a new technique of interposition vein graft guided by polypropylene suture in distal fingertip replantation. Methods: A total of eight consecutive Tamai zone 1 fingertip replantations performed by the same author were included. All replantations were performed using interposition vein graft guided by polypropylene suture. This technique involved a vein graft of similar to 2 cm, with appropriate calibration, obtained from the volar part of the forearm and a 2-0 polyprolene suture passed through the interposition vein graft. Then, a polypropylene suture guide carrying the vein graft was inserted into the artery. The anastomosis was easily performed with the aid of 10-0 or 11-0 nylon in a bloodless medium and without encountering the posterior wall problem. Results: Average surgery time was 2.5 hours (range = 2-3 hours). Among eight Tamai zone 1 replantations, six were successful (75%). There were two replantations lost because of arterial failure. Conclusion: This technique may ease fingertip replantations and increase the success rate for Tamai zone 1 injuries.