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Case Reports
. 2019 Aug 5;7(8):e2352.
doi: 10.1097/GOX.0000000000002352. eCollection 2019 Aug.

Ring Avulsion Digital Replantation Utilizing a Cannulated Axial Screw for Bone Fixation

Alessandro Thione  1 , Alberto Sánchez-García  1 , Alberto Pérez-García  1 , Enrique Salmerón-González  1 , Elena García-Vilariño  1
Affiliations
Case Reports

Ring Avulsion Digital Replantation Utilizing a Cannulated Axial Screw for Bone Fixation

Alessandro Thione et al. Plast Reconstr Surg Glob Open. .
No abstract available

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Figures

Fig. 1.
Fig. 1.
Total circumferential soft tissue degloving, associated with distal phalanx bone loss at distal interphalangeal joint level.
Fig. 2.
Fig. 2.
Intraoperative radiograph showing 2-mm axial screw fixation, achieving satisfactory anatomic distal phalanx alignment.
Fig. 3.
Fig. 3.
Four-week postoperative image showing A, reimplanted finger viability and B, complete hand gripping.
See this image and copyright information in PMC

References

    1. Kupfer DM, Eaton C, Swanson S, et al. Ring avulsion injuries: a biomechanical study. J Hand Surg Am. 1999;24:1249–1253. - PubMed
    1. Lee SW, Lee DC, Kim JS, et al. Analysis of bone fixation methods in digital replantation. Arch Plast Surg. 2017;44:53–58. - PMC - PubMed
    1. Beldner S, Polatsch DB. Arthrodesis of the metacarpophalangeal and interphalangeal joints of the hand: current concepts. J Am Acad Orthop Surg. 2016;24:290–297. - PubMed
    1. Urbaniak JR, Evans JP, Bright DS. Microvascular management of ring avulsion injuries. J Hand Surg Am. 1981;6:25–30. - PubMed
    1. Cavadas PC, Rubí C, Thione A, et al. Immediate versus overnight-delayed digital replantation: comparative retrospective cohort study of survival outcomes. J Hand Surg Am. 2018;43:625–630. - PubMed

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