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Case Report 


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

Sinan Topuz, Ümit Eyüpoğlu, Mustafa Sertaç Ocak, Murat Sinan Engin.


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

Key words: replantation, vein graft, palmar arch, crush injury, post-traumatic stress disorder, forearm


 
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How to Cite this Article
Pubmed Style

Topuz S, Eyupoğlu U, Ocak MS, Engin MS. Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand Microsurg. 2025; 14(1): 41-46. doi:10.5455/handmicrosurg.232510

Web Style

Topuz S, Eyupoğlu U, Ocak MS, Engin MS. Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. https://handmicrosurgeryjournal.com/?mno=232510 [Access: May 01, 2025]. doi:10.5455/handmicrosurg.232510

AMA (American Medical Association) Style

Topuz S, Eyupoğlu U, Ocak MS, Engin MS. Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand Microsurg. 2025; 14(1): 41-46. doi:10.5455/handmicrosurg.232510


Vancouver/ICMJE Style

Topuz S, Eyupoğlu U, Ocak MS, Engin MS. Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand Microsurg. (2025), [cited May 01, 2025]; 14(1): 41-46. doi:10.5455/handmicrosurg.232510


Harvard Style

Topuz, S., Eyupoğlu, . U., Ocak, . M. S. & Engin, . M. S. (2025) Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand Microsurg, 14 (1), 41-46. doi:10.5455/handmicrosurg.232510


Turabian Style

Topuz, Sinan, Umit Eyupoğlu, Mustafa Sertac Ocak, and Murat Sinan Engin. 2025. Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand and Microsurgery, 14 (1), 41-46. doi:10.5455/handmicrosurg.232510


Chicago Style

Topuz, Sinan, Umit Eyupoğlu, Mustafa Sertac Ocak, and Murat Sinan Engin. "Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report." Hand and Microsurgery 14 (2025), 41-46. doi:10.5455/handmicrosurg.232510


MLA (The Modern Language Association) Style

Topuz, Sinan, Umit Eyupoğlu, Mustafa Sertac Ocak, and Murat Sinan Engin. "Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report." Hand and Microsurgery 14.1 (2025), 41-46. Print. doi:10.5455/handmicrosurg.232510


APA (American Psychological Association) Style

Topuz, S., Eyupoğlu, . U., Ocak, . M. S. & Engin, . M. S. (2025) Revascularization Of Three Fingers Using A Psi (Ψ)-Shaped Forearm Vein Graft In A Severely Crushed Hand: A Case Report. Hand and Microsurgery, 14 (1), 41-46. doi:10.5455/handmicrosurg.232510




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    About Hand and Microsurgery

    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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