Alexander V Alexandrov¹*, Alexander A Smirnov², Pavel V Goncharuk^1,2, Alexander N Evdokimov¹  and Vsevold V Rybchenok^1,2

¹Filatov Children’s Clinical Hospital of City of Moscow, Russia
²Russian State Medical University, Department of Pediatric Surgery, Anesthesiology and Intensive Care, Russia

*Corresponding Author: Alexander V Alexandrov, Chief of Department of Reconstructive Microsurgery, Filatov Children’s Clinical Hospital of City of Moscow, Russia.

Received: February 10, 2023; Published: April 17, 2023

Abstract

Background: In children complete and partial traumatic finger amputations are infrequent compare with adults. Significant differences exist in term of epidemiology, nature of injury, indication and contraindication for replantation, and surgical technique in children vs adults.

Clinical case: A 15-years old male child sustained traumatic fingertip amputation of 3^rd and 4^th fingers caused by axe. Replantation of both fingertips was performed. Digital arteries and nerves were repaired however veins were not. Both replanted fingertips survived well.

Discussion: Fingertip replantation in children is a real challenge. Vessels diameter less than 1 mm requires super microsurgical ability of the surgeon. Other than that post-operative venous congestion is frequent problem that requires tricky post-operative care in some patients.

Conclusion: Digital replantation attempt is 100 % indicated in children. In modern times most of professionals agree that fingertip replantation is a golden standard in pediatric population. The correct delivery and cold preservation of amputated part, the shortest possible ischemia time, perfect surgical technique and appropriate post-operative monitoring and care all play an important role in successful replanted fingertip survival.

Keywords: Fingertip; Replantation; Venous Anastomoses; Venous Congestion; Children

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Citation

Citation: Alexander V Alexandrov., et al. “Fingertip Replantation without Venous Anastomoses”.Acta Scientific Medical Sciences 7.5 (2023): 124-129.

Copyright

Copyright: © 2023 Alexander V Alexandrov., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.