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Replantation of the Completely Avulsed Thumb Using Long Arterial and Venous Grafts

From the Department of Hand Surgery, University of Umeå Hospital, Sweden

Correspondence: Åke Nyström, M.D., Ph.D., Department of Hand Surgery, University of Umeå Hospital, Umeå, Sweden

Long arterial and venous grafts (10–15 cm. in length) were used in the replantation of thumbs amputated by avulsion. All replanted parts survived and thrombosis requiring anastomotic revision did not occur in any of the cases. Based upon a consideration of different factors that may lead to the formation of thrombus in reconstructed vessels, a method is recommended for routine use in replantation of the thumb, with specific reference to avulsion injuries.

Journal of Hand Surgery (British and European Volume), Vol. 16, No. 4, 389-391 (1991)
DOI: 10.1016/0266-7681(91)90009-D


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