Hirase technique: A step-by-step procedure for fingertip sub/amputation in children with cooling composite graft

Andrea Minini , Alessandro Fagetti , Mario Cherubino , Anna Brandolini , Emanuele Mascherpa , Julien Teodori , Federico Tamborini , Giuseppe Mosillo
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Abstract

Fingertip partial or complete amputations are the most common hand injuries among pediatric population. Different treating options are nowadays available, with microsurgery that has been pushing further and further its technical limits; nevertheless it requires extraordinary surgical skills and experience. We present our step-by-step technique according to Hirase’s composite cooling graft principles as an effective alternative to more complex solutions. This procedure showed excellent results in children, with promising results even in young adults.

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Hirase 技术:使用冷却复合移植物治疗儿童指尖下/截肢的分步法。
指尖部分或完全截肢是儿科最常见的手部损伤。目前有多种不同的治疗方案,显微外科手术的技术极限也在不断提高,但这需要非凡的手术技巧和经验。我们将根据 Hirase 的复合冷却移植原理逐步介绍我们的技术,作为更复杂解决方案的有效替代方案。这种方法在儿童身上取得了很好的效果,甚至在年轻人身上也有很好的效果。
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