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Alternative to Vein Grafts for Arterial Repair in Avulsion Amputations of Thumb: Case Series
Faculty
Medicine
Year:
2019
Type of Publication:
ZU Hosted
Pages:
Authors:
Hamed Ahmed Aboelkhair
Staff Zu Site
Abstract In Staff Site
Journal:
Indian Journal of Orthopaedics Wolters Kluwer - Medknow
Volume:
Keywords :
Alternative , Vein Grafts , Arterial Repair , Avulsion
Abstract:
The first reimplantation of a complete thumb amputation using microvascular anastomosis in a human was successfully conducted by Komatsu in 1968. Avulsion amputations of the thumb at the level of metacarpophalangeal joints pose a tedious task for direct arterial repair, even with adequate bone shortening. Owing to the short length of princeps pollicis from the deep arch, tight working space in the first web under microscope, and the associated intimal injuries, we advise transposing the radial indices artery in such cases which gives adequate length and noninjured artery for a tension-free repair. Using this method, surgeons can avoid the tedious task of vein grafts for arterial repair, reduce the operating time, and improve successful outcomes in thumb reimplantations
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Department Related Publications
Mohamed Anwar Abdel Haleem, "التهاب العصبى للعصب ما فوق عظمة اللوح نتيجة لاختناق العصب من مجراة ", لايوجد, 1900
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Mohamed Anwar Abdel Haleem, "التصوير المغناطيسي من رسم مفصل الركبة في حالات اصابة الغضروف الهلالي ", لايوجد, 1900
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Abdelsalam Eid Abdelsalam, "Dorsal closing wedge osteotomy for the treatment of Freiberg's infarction. The short term results of 11 patients.", Faculty of Medicine, Zagazig University, Egypt, 2005
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Abdelsalam Eid Abdelsalam, "A peculiar periprosthetic humeral fracture managed in a simple but effective way", Medknow publications, WKH, 2012
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Ahmed Altonsy Abdulsamie, "Anterior Cruciat ligament Reconstruction Using Hamstring Tendons With Femoral Cross-Pin And tibial Screw/Sheath Fixation", The Egyptian Orthopedic Journal –, 2009
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