Summary
Fingertip replantation in young children is difficult, especially in cases with amputation
at subzone 1. Replantation is preferred whenever possible, but the identification
of vessels of operative size can be very challenging. Non-enhanced angiography (NEA;
Genial Viewer; Genial Light, Shizuoka, Japan) emits infrared light with the wavelength
of 850 nm, which is exclusively absorbed by haemoglobin. The light penetrates the
bones and other soft tissues, effectively visualising vessels containing blood, and
the image is shown in real time on the screen of a laptop computer. We present a case
in which preoperative NEA visualised vessels in the amputated fingertip, allowing
a successful replantation in a 2-year-old boy. By taking the guesswork out of vessel
localisation, NEA can be useful in expanding operability of replantation surgery in
fingertip amputations.
Keywords
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References
- Nonoperative management of distal fingertip amputations in children.Pediatrics. 1979; 64: 1-3
- Management of fingertip injuries.Clin Plast Surg. 1989; 16: 405-425
- Composite graft replacement of digital tips. 2. A study in children.J Hand Surg Br. 1997; 22: 346-352
- Distal phalanx replantation.Microsurgery. 1994; 15: 77-82
- Fingertip replantations: clinical evaluation of 135 digits.Plast Reconstr Surg. 1996; 98: 470-476
Article info
Publication history
Published online: April 18, 2012
Accepted:
March 26,
2012
Received:
January 22,
2012
Identification
Copyright
© 2012 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Inc. All rights reserved.
