Vein grafts are often needed in digital revascularisation, especially if the injury is associated with an avulsion or crushing force as the segment of the artery with damage to the intima may extend past the readily apparent damaged artery. It is vital that the vessels used for the microvascular anastamosis have a normal intima.
1In the event of a long segment of vessel damage, it may not be possible to directly anastamose the artery and an interposition vein graft may be needed. These have classically been harvested from the volar aspect of the wrist or from the thenar eminence.
- Green D.P.
- Hotchkiss R.N.
- Pederson W.C.
- et al.
Green's Operative Hand Surgery.
5th edn. Elsevier Inc., 2005
2We present a case using a new donor site for interpositional vein grafting in digital revascularisation.
- Elliot D.
- Meyer M.
The use of the veins of the thenar eminence in digital revascularization and replantation.
J Hand Surg [Br]. 1993; 18B: 163-164
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- Green's Operative Hand Surgery.5th edn. Elsevier Inc., 2005 (p. 1581–2)
- The use of the veins of the thenar eminence in digital revascularization and replantation.J Hand Surg [Br]. 1993; 18B: 163-164
- Gray's Anatomy.39th edn. Elsevier Inc., 2005 (p. 930)
- Ring avulsion replantation by extended debridement of the avulsed digital artery and interposition with long venous grafts.Ann Plast Surg. 2002; 48: 574-581
Published online: April 02, 2007
☆This case was presented at the BAPRAS Summer Meeting on 13/07/06 as a poster.
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.