Fingertip Replantation Using Y-Shaped Vein Graft to Pulp Artery. Issue 4 (October 2015)

• Record Type: Journal Article
• Authors: Kim, Jun Hyuk; Lee, Young Man
• Is Part Of: Annals of plastic surgery. Volume 75:Issue 4(2015:Oct.)
• Publication Date: 2015-10
• Subjects: Surgery, Plastic -- Periodicals; 617.95205
• DOI: 10.1097/SAP.0000000000000196
• Languages: English
• ISSNs: 0148-7043

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <title>Abstract</title> <p>Re-establishing adequate venous outflow is the most important factor for success of fingertip replantation. However, in zone I level, replantation is very difficult, especially in repairing venous circulation. The authors have made an attempt to replantation using Y-shaped vein (YSV) graft to identify and repair veins easily in fingertip replantation.</p> <p>From January 2007 to December 2012, a total of 46 fingertip replantations in 44 consecutive patients with amputations in the Tamai zone I level were performed by using YSV graft. In all patients, arterial anastomosis was performed using YSV graft, and interpositional vein grafts were used for venous repair.</p> <p>The overall success rate of the YSV-grafted replantations was 91.3% (42/46). Postoperative vascular complications occurred in 6 YSV-grafted replantations (13%), and pulp atrophy in the YSV-grafted digits was 9.5% (4/42).</p> <p>Fingertip replantation in zone I level is a difficult territory to a microsurgeon, especially anastomosing veins. However, our YSV grafting technique has shown value in this setting, enabling better esthetic and functional results.</p> </sec> </abstract>