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Survival rates of digital replantation vary in different regions and countries, and Asian surgeons see more challenging cases and have developed some unique methods. Replantation of multiple digits in one or both hands can follow a structure-by-structure method or a digit-by-digit method. For replanting all 10 digits, 3 or 4 teams should be organized. Flow-through flaps, often venous flaps, can be taken from the distal forearm or lower extremity to repair defects of soft tissues and arteries. A pedicled digital artery flap from the adjacent digit can also repair tissue defects and supply blood to the replanted digit.
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Mark Snyder
University of Minnesota System
William Ickes
University of Wisconsin System
Clinics in Plastic Surgery
Twin Cities Orthopedics
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Snyder et al. (Tue,) studied this question.
synapsesocial.com/papers/6a0d08aa48a8c0e2bf7c7c42 — DOI: https://doi.org/10.1016/j.cps.2020.06.002