T. Dubert et al., VERY DISTAL FINGER AMPUTATIONS - REPLANTATION OR REPOSITION-FLAP REPAIR, Journal of hand surgery. British volume, 22B(3), 1997, pp. 353-358
0Management of very distal finger amputations is still controversial.
Successful replantation results in an almost normal finger but is not
without problems, such as technical difficulty, risk of failure and co
st. ''Reposition-flap'' repair is a simpler procedure: it consists of
distal bone and nail bed ''graft-reposition'' and pulp reconstruction
by a flap. We compare ten successful replantations and six reposition-
flap reconstructions. Replantation has several advantages over reposit
ion-flap repair in terms of less finger shortening, longitudinal nail
curvature, absence of PIP flexion contracture and shorter time off wor
k, The results of reposition-flap repair are less satisfactory, but it
is nevertheless a useful alternative when replantation is impossible
or has failed.