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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
› Author Affiliations
Further Information

Address for correspondence:

Dr. Jefferson Braga-Silva
Pontifical Catholic University of Rio Grande do Sul
Avenida Ipiranga 6690, Suite 216, Porto Alegre, Rio Grande do Sul
Brazil   

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.


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KEY WORDS

Amputation - fingertip - hand - reconstruction - trauma

 


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Conflicts of interest

There are no conflicts of interest.

  • REFERENCES

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    PubMedSearch in Google Scholar
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    PubMedSearch in Google Scholar
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    CrossrefPubMedSearch in Google Scholar

Address for correspondence:

Dr. Jefferson Braga-Silva
Pontifical Catholic University of Rio Grande do Sul
Avenida Ipiranga 6690, Suite 216, Porto Alegre, Rio Grande do Sul
Brazil   

  • REFERENCES

  • 1 Mantero R, Bertolotti P. Reimplantation of the finger tips using a cross-finger technique (author’s transl). Ann Chir 1975; 29: 1019-23
    PubMedSearch in Google Scholar
  • 2 Robert N, Chassat R, Couturier C, Delpit X, Masmejean E. “Reposition-flap”: A therapeutic alternative in fingertips amputations. Ann Chir Plast Esthet 2015; 60: 299-304
    CrossrefPubMedSearch in Google Scholar
  • 3 Foucher G, Braga Da Silva J, Boulas J. “Reposition-flap” technique in amputation of the finger tip Apropos of a series of 21 cases. Ann Chir Plast Esthet 1992; 37: 438-42
    PubMedSearch in Google Scholar
  • 4 Braga-Silva J, Jaeger M. Repositioning and flap placement in fingertip injuries. Ann Plast Surg 2001; 47: 60-3
    CrossrefPubMedSearch in Google Scholar

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