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©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Nov 6, 2020; 8(21): 5394-5400
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5394
Published online Nov 6, 2020. doi: 10.12998/wjcc.v8.i21.5394
Supermicroscopy and arterio-venolization for digit replantation in young children after traumatic amputation: Two case reports
Yun Chen, Department of Pediatric Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510000, Guangdong Province, China
Ze-Min Wang, Department of Pediatric Orthopedics, Loudi Central Hospital, Loudi 417000, Hunan Province, China
Jing-Hui Yao, Department of Pediatric Orthopedics, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong Province, China
Author contributions: Yao JH and Chen Y contributed equally to this work; Yao JH and Chen Y designed the research study; Yao JH and Wang ZM completed these operations; Chen Y and Wang ZM completed the postoperative observation; Chen Y and Wang ZM analyzed the data and wrote the manuscript; All authors have read and approve the final manuscript.
Informed consent statement: All study participants, or their legal guardian, provided informed written consent prior to study enrollment.
Conflict-of-interest statement: The authors have no conflicts of interest to declare.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Jing-Hui Yao, MSc, Associate Chief Physician, Department of Pediatric Orthopedics, The Third Affiliated Hospital of Southern Medical University, No. 183 Zhongshan Avenue West, Guangzhou 510630, Guangdong Province, China.
Received: July 3, 2020
Peer-review started: June 27, 2020
First decision: September 12, 2020
Revised: September 23, 2020
Accepted: October 1, 2020
Article in press: October 1, 2020
Published online: November 6, 2020
Processing time: 126 Days and 2.6 Hours
Peer-review started: June 27, 2020
First decision: September 12, 2020
Revised: September 23, 2020
Accepted: October 1, 2020
Article in press: October 1, 2020
Published online: November 6, 2020
Processing time: 126 Days and 2.6 Hours
Core Tip
Core Tip: Young children with traumatic digit amputation and no venous anastomosis are considered a technical challenge clinically. Traditional surgical methods, flap repair, in situ suture, and only suture of the artery and blood-letting therapy have been used for treatment, with low success rate, perioperative complications, pain, and poor prognosis. Supermicroscopy combined with arterio-venolization is effective for digit replantation, without causing new donor site injury but with a high survival rate, finger integrity preservation, and good prognosis.