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Arch Hand Microsurg > Volume 18(1); 2009 > Article
Journal of the Korean Society for Surgery of the Hand 2009;18(1):27-30.
Published online May 31, 2009.
DOI: https://doi.org/10.12790/jkssh.2009.18.1.27   
Clinical Experience of Finger Tip Amputation of Small Finger in 12-Months-Old: Use of the Technique of Artery-Only Anastomosis
Sun Joo Kim, M.D., Hwan Jun Choi, M.D., Young Man Lee, M.D., Yong Bae Kim, M.D.
Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University, Korea. medi619@hanmail.net
단일동맥연결을 통한 유아 새끼 손가락끝 재접합 경험
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Abstract
Purpose: Recently, replantation of fingertip amputation, Zone I by Yamano classification, is still difficult because digital arteries branch into small arteries and also digital veins are hard to separate from the immobile soft tissue. However the replantation of fingertip in adults is a well-established procedure, but the replantation in infant or child is still uncommon. Therefore we present one case of replantation of the fingertip of the small finger in 12-months-old patient.
Methods: We experienced a 12-months-old male amputation of small finger. It had been amputated completely at the level of Zone I by Yamano classification. Replantation was performed using the arteryonly technique with neither vein nor nerve repair. Because the artery has been damaged, it is still possible to make a direct suture by transposing the arterial arch in an inverted Y to I arterial configuration. Venous drainage was provided by an external bleeding method with partial nail excision and repaired margin for approximately 7 days.
Results: We were performed replantation in infant with only-arterial anastomosis successfully, result in good recovery of aesthetic and functional outcome.
Conclusion: In conclusion, although fingertip injury was difficult to replantation in infant and child, we must try it. Because of its functional and cosmetic advantage.
Key Words: Replantation, Fingertip amputation
 
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