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.
1
In 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.
2
We present a case using a new donor site for interpositional vein grafting in digital
revascularisation.To read this article in full you will need to make a payment
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References
- 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
Article info
Publication history
Published online: April 02, 2007
Footnotes
☆This case was presented at the BAPRAS Summer Meeting on 13/07/06 as a poster.
Identification
Copyright
© 2007 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
