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

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 amp...

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Main Authors: Jefferson Braga-Silva, Renato Franz Matta Ramos, Gabriela Meirelles Marchese, Pedro Salomao Piccinini
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2016-09-01
Series:Indian Journal of Plastic Surgery
Subjects:
Online Access:http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197234
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author Jefferson Braga-Silva
Renato Franz Matta Ramos
Gabriela Meirelles Marchese
Pedro Salomao Piccinini
author_facet Jefferson Braga-Silva
Renato Franz Matta Ramos
Gabriela Meirelles Marchese
Pedro Salomao Piccinini
author_sort Jefferson Braga-Silva
collection DOAJ
description 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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spelling doaj.art-898fdb26540d4e3ea950d288a1dec29c2022-12-21T19:45:55ZengThieme Medical Publishers, Inc.Indian Journal of Plastic Surgery0970-03581998-376X2016-09-01490341942110.4103/0970-0358.197234Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeksJefferson Braga-Silva0Renato Franz Matta Ramos1Gabriela Meirelles Marchese2Pedro Salomao Piccinini3Hand and Reconstructive Microsurgery Service, Hospital Sao Lucas Medical School, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilHospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilPontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilHospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, BrazilTraumatic 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.http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197234amputationfingertiphandreconstructiontrauma
spellingShingle Jefferson Braga-Silva
Renato Franz Matta Ramos
Gabriela Meirelles Marchese
Pedro Salomao Piccinini
Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
Indian Journal of Plastic Surgery
amputation
fingertip
hand
reconstruction
trauma
title Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
title_full Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
title_fullStr Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
title_full_unstemmed Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
title_short Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
title_sort distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks
topic amputation
fingertip
hand
reconstruction
trauma
url http://www.thieme-connect.de/DOI/DOI?10.4103/0970-0358.197234
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AT renatofranzmattaramos distalphalanxamputationwithdelayedpresentationandsuccessfulreconstructionwithrepositionandflapafter2weeks
AT gabrielameirellesmarchese distalphalanxamputationwithdelayedpresentationandsuccessfulreconstructionwithrepositionandflapafter2weeks
AT pedrosalomaopiccinini distalphalanxamputationwithdelayedpresentationandsuccessfulreconstructionwithrepositionandflapafter2weeks