Phan Truong Quang Vu, Xu Weiguo, Spilker Gerald, Weinand Christian
Department of Plastic and Reconstructive Surgery, University Hospital of Witten-Herdecke, Cologne Merheim, Germany.
Hand Surg. 2012;17(1):135-7. doi: 10.1142/S021881041272015X.
Digital finger amputation with soft tissue injury is a frequent accident in reconstructive surgery. Several techniques about reconstruction of digital finger amputation are described in literature. However replantation is difficult when large segments of the arteries are missing. This is especially true for distal finger phalanx amputations, where replantation is done in selected patients such as artists or musicians. In this article a microsurgical replantation techniques of a distal artery and proximal vein anastomosis is presented in a distal phalanx amputation, which successfully solved the problem of venous reflux without venous anastomosis.
伴有软组织损伤的手指离断是重建手术中常见的意外情况。文献中描述了几种手指离断重建技术。然而，当动脉大片段缺失时，再植手术困难。对于手指末节指骨离断尤其如此，在这种情况下，仅对艺术家或音乐家等特定患者进行再植手术。本文介绍了一种手指末节指骨离断的显微外科再植技术，即远端动脉与近端静脉吻合，成功解决了无静脉吻合情况下的静脉回流问题。
