In digital tip replantation, as the amputation level becomes more distal, venous repair becomes more challenging. Indeed, venous insufficiency has a significant impact on the failure rate of fingertip replantation1. To solve this problem, we attempted to anastomose two arteries whenever possible based on the brief that internal circulation is provided through arteriovenous communication and that a greater blood flow is necessary to restore the severely damaged tissue. From May 1998 to December 2015, 38 fingertip replantations with 2 arteries repair were performed in 38 patients.
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