Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks

ABSTRACT Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal f...

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Bibliographic Details
Published in:Indian journal of plastic surgery 2016-09, Vol.49 (3), p.419-421
Main Authors: Braga-Silva, Jefferson, Ramos, Renato Franz Matta, Marchese, Gabriela Meirelles, Piccinini, Pedro Salomao
Format: Article
Language:English
Subjects:
Amputation
Case Report
fingertip
hand
Methods
Patient outcomes
Plastic surgery
reconstruction
trauma
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Summary:ABSTRACT Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal finger amputations, replantation is the procedure of choice, as long as the amputated fragment is viable. If replantation is not an option, reposition + flap using a neurovascular flap can be an efficient option, as this offers improved skin coverage. To the best of our knowledge, this case illustrates the longest cold ischaemic time with a successful outcome.
ISSN:0970-0358
1998-376X
DOI:10.4103/0970-0358.197234