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This Concept Map, created with IHMC CmapTools, has information related to: Amputation, Retract the skin flaps Place the gigli wire at the intended site, Make horizontal skin incision at the distal interphalangeal joint Continue the incision through the collateral ligament and tendons, up until the joint capsule, Excise the fat pad and ligate any necessary blood vessels Stitch up the skin as indicated in the previous procedure (with gigli wire), High digit amputation* Procedure cont'd, Ligate digital artery if possible Remove deep digital flexor tendon*, Low digit amputation* Procedure cont'd, Intra-operative considerations include Procedure with gigli wire, Claw/digit amputation has Contraindications, Procedure with gigli wire either High digit amputation*, Dissect the skin from the underlying digit Undermine and retract the cranial and caudal flaps, Claw/digit amputation has Indications*, Procedure with gigli wire either Low digit amputation*, Pass tube using a Buhner needle (proximal to distal) Suture the skin flaps* using a horizontal mattress pattern, Incise skin and subcutaneous tissues to the bone Dissect the skin from the underlying digit, Continue the incision through the collateral ligament and tendons, up until the joint capsule Place traction on the digit, and continue the incision to the axial collateral ligament*, Undermine and retract the cranial and caudal flaps Retract the skin flaps, Intra-operative considerations include Disarticulation procedure, Intra-operative considerations include Correction of coffin joint arthrodesis, Dissect and remove all excess interdigital adipose tissue, necrotic tissue Ligate digital artery if possible, Make skin incision along the axial and abaxial surface of the coronary band Make vertical incisions cranially& caudally