Figure 15050

Figure Legend: This series demonstrates marginal necrosis in a complex wound.  This patient sustained multiple amputations in a power saw accident and underwent replantation of two of his fingers. Figures 1a and 1b show the original injury, and 2a and 2b show the appearance immediately after replantation. Figures 3a and 3b show peripheral necrosis of both proximal and distal wound margins.  In this case, such conditions may lead to late failure of replantation due to thrombosis of the vascular repairs due to an inhospitable wound environment.  Fortunately, secondary healing was uneventful, and the replanted digits survived.
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