Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part
Archives of Plastic Surgery
;
: 404-410, 2012.
Article
in English
| WPRIM
| ID: wpr-50316
ABSTRACT
BACKGROUND:
First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults.METHODS:
Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crush or avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmar pocketing method following a composite graft in these patients and prepared the pocket in the subcutaneous layer of the ipsilateral palm.RESULTS:
Of a total of 10 cases, nine had complete survival of the replantation and one had 20% partial necrosis. All of the cases were managed to conserve the fingernails, which led to acceptable cosmetic results.CONCLUSIONS:
A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Replantation
/
Transplants
/
Cosmetics
/
Fingers
/
Amputation, Surgical
/
Nails
/
Necrosis
Limits:
Adult
/
Humans
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2012
Type:
Article
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