Please use this identifier to cite or link to this item: https://doi.org/10.1016/j.bjps.2009.06.039
Title: Dermal pocketing following distal finger replantation
Authors: Puhaindran, M.E.
Tan, D.M.K.
Peng, Y.P. 
Lim, A.Y.T.
Paavilainen, P.
Keywords: Dermal pocketing
Distal replantation
Fingertip amputations
Fingertip injuries
Pocketplasty
Issue Date: 2010
Citation: Puhaindran, M.E., Tan, D.M.K., Peng, Y.P., Lim, A.Y.T., Paavilainen, P. (2010). Dermal pocketing following distal finger replantation. Journal of Plastic, Reconstructive and Aesthetic Surgery 63 (8) : 1318-1322. ScholarBank@NUS Repository. https://doi.org/10.1016/j.bjps.2009.06.039
Abstract: Replantation is an ideal technique for reconstruction following fingertip amputation as it provides 'like for like' total reconstruction of the nail complex, bone pulp tissue and skin with no donor-site morbidity. However, fingertips are often not replanted because veins cannot be found or are thought to be too small to repair. Attempts at 'cap-plasty' or pocketing of replanted tips with and without microvascular anastomosis have been done in the past with varying degrees of success. We prospectively followed up a group of patients who underwent digital replantation and dermal pocketing in the palm to evaluate the outcome of this procedure. There were 10 patients with 14 amputated digits (two thumbs, five index, four middle, two ring and one little) who underwent dermal pocketing of the amputated digit following replantation. Among the 14 digits that were treated with dermal pocketing, 11 survived completely, one had partial atrophy and two were completely lost. Complications encountered included finger stiffness (two patients) and infection of the replanted fingertip with osteomyelitis of the distal phalanx (one patient). We believe that this technique can help increase the chance of survival for distal replantation with an acceptable salvage rate of 85% in our series. © 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons.
Source Title: Journal of Plastic, Reconstructive and Aesthetic Surgery
URI: http://scholarbank.nus.edu.sg/handle/10635/25290
ISSN: 17486815
DOI: 10.1016/j.bjps.2009.06.039
Appears in Collections:Staff Publications

Show full item record
Files in This Item:
There are no files associated with this item.

SCOPUSTM   
Citations

6
checked on Sep 19, 2018

WEB OF SCIENCETM
Citations

3
checked on Sep 3, 2018

Page view(s)

227
checked on Aug 24, 2018

Google ScholarTM

Check

Altmetric


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.