Microsurgery
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Case Reports
Wandering nerve graft technique for management of the recalcitrant painful neuroma in the hand: a case report.
A new technique for the management of the painful neuroma following ray amputation of the index finger is reported. The rationale behind this operative procedure, which is based on both clinical and experimental work, is outlined. The patients' follow-up to 4 years postoperatively is presented.
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Case Reports
Automatic milking apparatus for the insufficient venous drainage of the replanted digit.
An automatic milking apparatus composed of a finger attachment and a pump to push out the air was devised in order to perform the forced drainage from replanted digits with insufficient venous drainage. Seven replanted digits with insufficient venous drainage after replantation were applied, and remarkable improvement was found in five digits. An interesting case is reported in which a replanted digit without venous anastomosis survived as a consequence of applying the milking apparatus. The advantages of our milking apparatus are also discussed.