THE USE OF ARTERIOVENOUS ANASTOMOSIS FOR REPLANTATION OF THE DISTAL PHALANX OF THE FINGERS

Microvascular replantation at the distal phalangeal level has recently been reported by several authors, but as yet the rate of success has not been constant owing to the technical difficulties associated with small vessels. To solve this problem, over the last 4 years we have us ed arteriovenous anastomosis to reestablish either the arterial system or the venous drainage system in the 33 digits of our 23 patients. Th e results have been excellent, with a 91 percent success rate. Such re sults for replantation of the distal phalanx may be maintained and imp roved if a small venous graft with several branches is also utilized.