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CC BY-NC-ND 4.0 · Indian J Plast Surg 2016; 49(03): 419-421
DOI: 10.4103/0970-0358.197234
Case Report
Association of Plastic Surgeons of India

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

Jefferson Braga-Silva
Hand and Reconstructive Microsurgery Service, Hospital Sao Lucas Medical School, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Renato Franz Matta Ramos
1   Hospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Gabriela Meirelles Marchese
2   Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
,
Pedro Salomao Piccinini
1   Hospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Publication History

Publication Date:
26 August 2019 (online)

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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.

KEY WORDS

Amputation - fingertip - hand - reconstruction - trauma
 

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