The Fate of Neglected Vascular Injury of the Hand in Acute Hand Injuries

급성 수부 손상에서 간과된 혈관성 손상을 가진 수부의 운명

  • Kim, Tae-Bum (Department of Plastic and Reconstructive Surgery, Dong Kang General Hospital) ;
  • Lee, Yong-Jig (Woo's Institute of Hand Surgery and Reconstructive Microsurgery, Gangnam Hospital) ;
  • Lee, Young-Keun (Woo's Institute of Hand Surgery and Reconstructive Microsurgery, Gangnam Hospital) ;
  • Woo, Sang-Hyun (Woo's Institute of Hand Surgery and Reconstructive Microsurgery, Gangnam Hospital)
  • 김태범 (울산 동강병원 성형외과) ;
  • 이용직 (대구 강남병원[우상현]수부외과 및 미세재건수술센터) ;
  • 이영근 (대구 강남병원[우상현]수부외과 및 미세재건수술센터) ;
  • 우상현 (대구 강남병원[우상현]수부외과 및 미세재건수술센터)
  • Published : 2007.05.31

Abstract

In acute hand injury, there are sometimes hattened neglected or overlooked vascular injury by primary operators. The authors evaluated the final results and prognosis after secondary revascularization. In eight cases, the authors performed secondary revascularization after prolonged warm ischemia. Five fingers in five cases among them were successfully survived and three cases finally necrosed. The mean warm ischemic time was 56.1 hours. In revascularization procedures, end-to-end artery anastomosis was possible in six cases. In two cases, vein graft was needed to anastomose digital artery, which resulted in complete survival of the fingers. In all three cases, revision amputation of the fingers was done. In acute complex hand injury, the importance of evaluation of the vascular injury can not be overemphasized. The necessity of the early secondary revascularization as well as serious consequence caused by misdiagnosis of vascular injury should be aware.

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