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Replantation of Multiple Severed Fingers

  • Jian Lin
  • He-Ping Zheng
  • Yong-Qing Xu
  • Tian-Hao Zhang
Chapter

Abstract

Multiple severed fingers means two or more fingers severed, what is more complicated than would occur in one hand or both hands. Most cases are caused by mechanical damage and the rest are caused by knife cuts or other penetrating trauma. Multiple severed fingers are a common hand injury, compared with a single severed finger, it is characterized by:
  1. (a)

    More serious trauma, a more complicated condition, more blood loss, which would cause changes in blood volume, blood components, and hemodynamics, and activate systemic compensatory vasoconstriction.

     
  2. (b)

    Longer operating time, more difficulty, which requires not only more energy and stamina from the surgeon, but also a stricter anesthesia way and perioperative period treatment.

     
  3. (c)

    Higher microtechnical requirements of racing against time to reduce the ischemia time of severed fingers.

     
  4. (d)

    Close observation of the replanted fingers after the operation and maintaining general stability to prevent high coagulation, while preventing excessive bleeding.

     

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Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Jian Lin
    • 1
  • He-Ping Zheng
    • 2
  • Yong-Qing Xu
    • 3
  • Tian-Hao Zhang
    • 1
  1. 1.Department of Orthopaedic SurgeryXin-hua Hospital (ChongMing)ShanghaiChina
  2. 2.Clinical Anatomic CenterNanjing District General Hospital of PLAFuzhouChina
  3. 3.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina

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