Successful replantation of an avulsed middle finger

In avulsion amputations of the digits, soft-tissue injuries are extensive a nd often require tendon, nerve, and vessel transfers or grafts. The functio nal results of such digital replantations are frequently less than ideal. T herefore, avulsion amputation of a single digit proximal to the insertion o f the flexor digitorum superficialis has been a contraindication to replant ation, because the anticipated poor functional result may interfere with ov erall hand function, and is not worth the sacrifice of a tendon, nerve, or vessel from another digit or transfer. The authors report a patient with av ulsion amputation of the middle finger at the proximal interphalangeal join t, The digit was replanted successfully without any tissue transfers other than a radial digital artery from the ring finger. The functional results w ere good, and the authors believe that good functional and cosmetic results can be achieved in select patients with isolated digital avulsions, provid ed that an experienced hand microsurgeon and a skillful hand therapist are available for a compliant patient.