Types of vascular reconstructions in replantations of distal parts of the fingers

Abstract

The authors present the case of a 17-year-old patient with amputation of the distal portions of three-phalangeal fingers. During replantation of each finger a different method of revascularization of the amputate was used. In one finger the classical replantation pattern was used: anastomosis of the digital artery and dorsal vein. Inthe second finger anastomosis of the digital artery and volar vein was made, while in the third finger a method of nontraditional revascularization was used, i.e. by using an arteriovenous shunt: transposition of the second digital artery with adequate back-flow to the dorsum and anastomosis with the dorsal vein.