Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report

• DOI: 10.5455/handmicrosurg.232510
• Publication Date: 2025-04-22T22:11:12Z
• Authors: Sinan topuz; mit lu; mustafa ocak; murat engin

Crush injuries pose significant challenges for replantation due to extensive vascular and nerve damage. Vein grafts help overcome defects in such cases, increasing the likelihood of successful revascularization. In this report, we present case a 14-year-old male who suffered subtotal amputations at mid-metacarpal level crush injury. Three fingers were revascularized using single Psi (Ψ)-shaped vein graft with three branches, from distal volar surface forearm. The ulnar artery was used proximal anastomosis, graft's branches anastomosed common digital arteries. There no circulatory problems; however, patient's development post-traumatic stress disorder postoperative period led incomplete adherence physiotherapy resulted suboptimal recovery. multiple harvested forearm, as graft, offer ease harvesting favorable size compatibility may serve practical solution complex reconstructions transmetacarpal level.