External bleeding versus dermal pocketing for distal digital replantation without venous anastomosis.

Lim, Rebecca; Lee, Ellen; Lim, Joel; Chong, Alphonsus K S; Sebastin, Sandeep J; Foo, Anthony · J Hand Surg Eur Vol · 2019

retrospective_cohort · Level III

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Abstract

Venous congestion in distal digital replantations is a common problem as suitable veins are not always available. We compared two methods of venous decongestion, external bleeding ( n = 15) and dermal pocketing ( n = 28) carried out when venous anastomosis was not possible. The findings of this small study suggest that neither method of venous decongestion is clearly better than the other. Level of evidence: IV.

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