In situ finger replantation with compression is a surgical procedure to replant the severed finger to the original site with compression bandage for type III finger tip dissection.
Type III disarticulation is a disarticulation from the middle to the distal end of the nail, and the terminal branches of the arteries are small, which makes anastomosis difficult, and it is difficult to find a vein for anastomosis on the palmar side.
The finger is replanted in situ with compression, anesthesia is often used with root block anesthesia, thorough debridement, and the section is trimmed flush.
Since the severed finger is often small, the surgery can preserve as much soft tissue as possible. Most of the finger bones do not need internal fixation, direct in situ skin-to-skin suture, interrupted sparse suture 3 to 4 stitches, the suture is not tight, to ensure that the proximal end of the more blood from the broken end of the seepage of nourishment of the distal end of the severed phalanx. Postoperative gauze pressure fixation was performed.
The indications for in situ finger replantation with compression surgery are relatively strict and the survival rate is relatively low. This procedure can be chosen if the severed finger is small, generally farther than the middle of the nail, and the contusion is relatively mild.