Chinese Journal of Clinical Anatomy >
Analysis of curative effect of two methods of veno-arteriolization for repairing severed finger tips
Received date: 2014-01-14
Online published: 2014-12-04
Objective To explore the effectiveness of veno-arteriolization of finger lateral vein for repairing severed finger tips by comparing with veno-arteriolization of finger pulp vein. Methods From March 2006 to April 2012, 20 patients underwent veno-arteriolization of finger lateral vein (20 fingers, trial group). 14 patients underwent veno-arteriolization of the finger pulp vein (14 fingers, control group), Clinical data and surgical outcomes were compared retrospectively. Results All patients survived completely in trial group. The survival rate in the trial group was higher than in the control group (100% vs 71.4%); the postoperative length of nail was greater in the trial group (15.6±2.7 mm vs 11.9±2.2 mm); the motion of DIP joint was greater in trial group (62°±4° vs 45°±3°). The sensation restoration in the trial group was greater in trial group (S3+ vs S3); the excellent and good rate of interphalangeal activity was greater in the trial group (94.4% vs 77.8%）. There was statistical significance between the two groups (P<0.05). Conclusion The veno-arteriolization of finger lateral vein is a valuable method for repairing severed finger tips, which can promote growth of the nail, and restore motion and sensation of fingers.
JIANG Qi-Ting , YANG Li-Na , WANG Yu , JIANG Zhi-Wei . Analysis of curative effect of two methods of veno-arteriolization for repairing severed finger tips[J]. Chinese Journal of Clinical Anatomy, 2014 , 32(6) : 725 -728 . DOI: 10.13418/j.issn.1001-165x.201
[1] Yan H, Brooks D, Ladner R, et al. Arterialized venous flaps: a review of the literature
[J]. Microsurgery, 2010, 30(6): 472-478.
[2] Nguyen PSA, Legre R, Gay AM. Treatment of hand ischemia with arterialization of the venous of the hand: report of three cases
[J]. Ann Chir Plast Esthet, 2011, 56(3): 200-206.
[3] Matarrese MR, Hammert WC. Revascularization of the ischemic hand with arterialization of the venous system
[J]. J Hand Surg, 2011, 36(12): 2047-2051.
[4] Masden DL, Seruya M, Higgins JP. A systematic veview of the outcomes of distal upper extremity bypass surgery with arterial and venous conduits
[J]. J Hand Surg, 2012, 37(11): 2362-2367.
[5] Chen YC, Chan FC, Hsu CC, et al. Fingertip replantation without venous anastomosis
[J]. Ann Plast Surg, 2013, 70(3): 284-288.
[6] 江起庭, 杨丽娜, 王钰, 等. 静脉动脉化在手外科领域中的应用
[J]. 国际外科学杂志, 2013, 40(11): 734-736.
[7] Djoric P. Early individual experience with distal venous arterialization as a lower limb salvage procedure
[J]. Am Surg, 2011, 77(6): 726-730.
[8] Sasajima T, Azuma N, Uchida H, et al. Combined distal venous arterialization and free flap of patients with extensive tissue loss
[J]. Ann Vasc Surg, 2010, 24(3): 373-381.
[9] Djoric P, Zeleskov-Djoric J, Stanisavljevic DM, et al. Venous arterialization and reperfusion injury: focus on oxidative status
[J]. Eur Surg Res, 2012, 48(4): 200-207.
[10] Tygesen G, Matzen H, Grnkjaer K, et al. Mathematical arterialization of venous blood in emergency medicine patients
[J]. Eur J Emerg Med, 2013, 19(6): 363-372.
[11] Mutirangura P, Ruangsetakit C, Wongwanit C, et al. Pedal bypass with deep venous arterialization: the therapeutic option in critical limb ischemia and unreconstructable distal arteries
[J]. Vascular, 2011, 19(6): 313-319.
[12] 江起庭, 江志伟, 杨丽娜. 指侧方静脉在指尖离断再植中的应用
[J]. 中国修复重建外科杂志, 2013, 27(2): 215-252.
[13] 江起庭, 龚劲松, 朱刚, 等. 吻合指侧方静脉重建指尖再植回流的临床研究
[J]. 中华骨科杂志, 2013, 33(7): 719-722.
[14] Munz M, Amorim MJ, Faria M, et al. Cardiac venous arterialization in acute myocardial infarction: how great is the benefit
[J]? Interact Cardiovasc Thorac Surg, 2013, 16(3): 307-313.
[15] Lan WL, Lin WN, Bell D, et al. The physiology microcirculation and clinical application of the shunt-restricted arterialized venous flaps for the reconstruction of digital defects
[J]. J Hand Surg, 2013, 38(4): 352-365.
[16] Kawakatsu M, Ishikawa K, Sawabe K. Free arterialised flow-through venous anastomosis as the outflow(A-A-V flap) for reconstruction after severe finger injuries
[J]. J Plast Surg Hand Surg, 2013, 47(1): 66-69.
[17] Ishikawa K, Ogawa Y, Soeda H, et al. A new classification of the amputation level for the distal part of the finger
[J]. J Jpn Soc Microsurg, 1990, 3(1): 54-62.
[18] 江起庭, 杨丽娜, 王钰, 等. 双动脉式静脉动脉化再植断指
[J]. 中华医学杂志, 2013, 93(43): 3477-3480.
[19] 江起庭, 杨丽娜, 王钰, 等. 同指组合皮瓣修复拇指末节脱套伤34例
[J]. 中华烧伤杂志, 2013, 29(6): 571-572.
[20] 江起庭, 杨丽娜, 江志伟. 双端侧神经吻合修复双侧指固有神经陈性旧性损伤
[J]. 中华骨科杂志, 2012, 32(12): 1161-1165.
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