Unsuccessful replantation of metacarpal hand after venous thrombosis – case report

• Authors: Ahmed Elsaftawy , Jerzy Jabłecki
• Languages of publication: EN

Abstracts

EN

Trans-metacarpal hand replantation is one of the most complex and difficult procedures in the reconstructive microsurgery. As far as we know the arrangement of the palmar arterial network, the problem lies in the absence of accurate venous maps at the dorsum of the hand. The quality of venous circulation structure at the replanted hand determine the success of the surgery. In this paper we present a case of a failed replantation of a metacarpal hand after early thrombosis at the venous microcirculation system.

Keywords

EN

metacarpal hand amputations; replantation; venous microcirculation thrombosis; microsurgical anastomosis

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2013
• Volume: 85
• Issue: 12
• Pages: 721-726

Dates

published

1 - 12 - 2013

online

25 - 01 - 2014

Contributors

author

Ahmed Elsaftawy

• Department of General Surgery, Subdepartment of Limb Replantation, Microsurgery and Hand Surgery, St Hedwig Hospital in Trzebnica

author

Jerzy Jabłecki

• Department of General Surgery, Subdepartment of Limb Replantation, Microsurgery and Hand Surgery, St Hedwig Hospital in Trzebnica

References

• 1. Paruzel M, Jabłecki J: Zastosowanie pijawek w leczeniu zaburzeń mikrokrążenia replantowanych palców. Doniesienie wstępne. Pol Przegl Chir 2007; 79(8): 987-97.
• 2. Jabłecki J, Kaczmarzyk J, Łapczyński D et al.: Digital Replantation In The V 5th Zone According To Tamai Classification. Pol Przegl Chir 1996; 68: 166-72.
• 3. Jabłecki J, Kaczmarzyk L, Orzechowski P et al.: Attempted Solution Of The Problem Of Lack Of A Venous Drainage After Finger Replantation, 2000, PL ISNN - 0860 - 2204
• 4. Żyluk A, Walaszek I: Ocena wyników replantacji kończyn górnych. Chir Narządów Ruchu i O rtop Pol 2007; 72(3): 165-73.
• 5. Weinzweig N: Replantation and revascularization at the transmetacarpal level: long-term functional results, J Hand Surg Am 1996; 21(5): 877-83.[Crossref][PubMed]
• 6. De Weerd L, Weum S, Mercer JB: Locating perforator vessels using dynamic infared thermography.Ann Plast Surg 2012, 13.
• 7. Ozcelik I: The results of digital replantations at the level of the distal interphalangeal joint and the distal phalanx. Acta Orthop Traumatol Turc 2006; 40(1): 62-66.
• 8. Gerostathopoulos N: Long- term results of transmetacarpal complete amputation. Session C ASRM/ HSRM. The Preliminary Program for 2003 Annual Meeting.
• 9. Hasuo T: Fingertip replantations: importance of venous anastomosis and the clinical results. Hand Surg 2009; 14(1): 1-6.[Crossref]
• 10. Hattori Y: Significance of venous anastomosis in fingertip replantation. Plast Reconstr Surg 2003; 111(3): 1151-58.[PubMed][Crossref]
• 11. Smith DO , Oura C, Kimura C, Toshimori K: The distal venous anatomy of the finger. J Hand Surg (Am) 1991; 16: 303-07.[Crossref]
• 12. Paavilainen P: Long-term results of transmetacarpal replantation. J Plast Reconstr Aesthet Surg 2007; 60(7): 704-09. Epub 2007 Apr26.[WoS][PubMed]
• 13. Sukop A: Clinical Anatomy of the Dorsal Venous Network in Fingers With Regard to Replantation.Clinical Anatomy 19:000-000 (2006).

Identifiers

DOI

10.2478/pjs-2013-0110