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Micro-vascular Surgery in Fingretip Injury Treatment: Case Report

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Ahigh periority for fingertif injury raconstruction is the restoration of skincover to protect underlying bone, tendon and nerve structures. Other priorities are to maintain or maximze sensibility, preserve digt length, and minize cosmetic doformity. Because it is so highly visible, through, the appearance of the recomstructed digit should be as normal as possible. Therefore, microvascular surgery has an important role in management of fingertip injuries to give a normal shape of the digit. In this case, clinical experience using microvascular surgery in the treatment of fingertip injury was reported. In early 2007, there were two fingertip injury cases which were recontructed using microvascular surgery modality. The first case was a 34 years old male who had detect in soft tissue of the fourth finger in his right hand caused machine. We performed elective wound reconstruction by transferring the skin and soft tissue freely (free pulp transferi) along with the vasculatures taken from fibular side of great toe in the right foot. Revascularization was performed by connecting deep plantar artery/vein with common digital artery/veinat the injured digit. The second case, was a 29 years old female with clean-cut amputation of the distal part of the third finger in the right hand (Allen’s type IV). We performed replantation in the first 16 hours after injury. We reanstomosed the ulnar side of digital artery only without vein and verve reanastomosis. To avoid the distal edema. We did not perform any skin suture and lest the oozing from the vein backflow. In both cases, we have excellent appearance result, moderate usefunness of the finger, but still poor in sensibility

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Journal of the Medical Sciences:43(2)2011:145-149

Publisher

Yogyakarta : Faculty of Medicine Gajah Mada University., 2011

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4p.

Language

English

ISBN/ISSN

0126-1312

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