Replantation of a Completely Amputated Thumb with Assistance of High-Speed Video Recording.

Li, Xingwei; Zhu, Xiaozhong; Zhu, Hongyi; Zhang, Changqing; Chai, Yimin; Zheng, Xianyou · JBJS Essent Surg Tech · 2019

case_report · Level V

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Abstract

Generally, surgeons assess the quality of vascular anastomosis in digit replantation on the basis of their experience. The steps for replantation of a completely amputated thumb, with assistance of high-speed video recording, consist of (1) debridement, (2) fixation, (3) tendon suture, (4) anastomosis, and (5) wound closure<sup>1,2</sup>. Revision amputation or flap coverage. With the assistance of high-speed video recording, the refilling velocity ratio (RVR) is an objective index for the quality assessment of the vascular anastomosis.