A Technique for Simultaneous Replantation of Multiple Amputated Digits at Tamai's Zone V
Resource
JOURNAL OF TRAUMA v.36 n.2 pp.216-221
Journal
JOURNAL OF TRAUMA
Journal Volume
v.36
Journal Issue
n.2
Pages
216-221
Date Issued
1994
Date
1994
Author(s)
CHIU, HAW-YUEN
CHEN, MING-TING
LIN, TSUO-WU
LU, SHIUH-YEN
CHANG, SHIH-ZEN
Abstract
A technique for simultaneously replanting multiple digits amputated at Tamai's Zone V is described. Since these multiple amputated digits are connected togetherm, they should be replanted as a single unit. The technique includes applying the pneumatic tourniquet first, debridement, bone shortening, and fixation of all the amputated digits, including tendon repairs, application of vascular clamps before releasing the tourniquet, followed by vascular anastojosis in one-by-one fashion for each digit. The disadvantage of this technique is the difficulty in keeping the digit cool. The advantages are it is a less time- consuming operation, there is reduced blood loss anf contamination, and there is a better axial arrangement of the bony framework.#a1594160
Type
journal article