Distal phalanx replantation under local anesthesia and without venous anastomosis

Main Article Content

Federico Paganini
Mariano Alberghini
Natalia Gutiérrez Olivera
Christian Antonio Allende Nores

Abstract

We present a patient who experienced a traumatic amputation of his left fifth finger distal phalanx, and was treated using replantation without venous anastomosis. The same surgical procedure also included a final arthrodesis with Kirschner wires. Surgery was performed with digital block anesthesia, which did not require the presence of an anesthesiologist nor fasting. The distal level of the amputation and the lack of viable options for dorsal vein anastomosis motivated our decision for venous drainage controlled by nail-plate removal, nail-bed scrubbing and periodic (every 3 hours during 7 days) dressing with heparine-impregnated gauze. In addition, the patient received anticoagulant therapy with aspirin and enoxaparin 40 mg every 24 hours for 21 days. The replantation procedure was a success.
Level of Evidence: IV

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How to Cite
Paganini, F., Alberghini, M., Gutiérrez Olivera, N., & Allende Nores, C. A. (2020). Distal phalanx replantation under local anesthesia and without venous anastomosis. Revista De La Asociación Argentina De Ortopedia Y Traumatología, 85(3), 246-253. https://doi.org/10.15417/issn.1852-7434.2020.85.3.981
Section
Case Presentations
Author Biographies

Federico Paganini, Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Mariano Alberghini, Department of Hand Surgery and Limb Reconstructive Surgery,Sanatorio Allende (Córdoba, Argentina)

Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Natalia Gutiérrez Olivera, Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Christian Antonio Allende Nores, Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

Department of Hand Surgery and Limb Reconstructive Surgery, Sanatorio Allende (Córdoba, Argentina)

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