Revascularization of the ischemic hand with arterialization of the venous system.

Chronic ischemia in the upper extremity is a challenging condition for both patients and surgeons. When ischemia reaches a critical level, tissue loss ensues, which results in necrosis of fingers at various levels. Amputation of necrotic digits, without addressing the etiology of the necrosis, often results in wound-healing problems and more proximal amputations. The purpose of this report was to describe a surgical technique that improves vascular supply to the hand and allows for healing of the amputation sites and relief of pain through arterialization of the venous system.

Duke Scholars

Author Warren Hammert Orthopaedic Surgery