Reconstruction of an amputated fingertip by a prefabricated free volar forearm flap.
An amputated fingertip was banked temporarily under the skin of the volar wrist. This prefabricated fingertip was transferred back to the finger 2 months later, together with a free flap from the volar wrist based on the superficial palmar branch of the radial artery. The fingertip pulp showed a little pale pigmentation, but maintained its length well. The dorsal tip of the finger looked normal. This two-stage procedure made it possible to salvage the amputated bone and nail.
Sakai
S
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Department of Plastic and Reconstructive Surgery, Tottori Prefectural Central Hospital, Tottori City, Tottori, Japan.
D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery*; D005383:Finger Injuries / Q000473:pathology / Q000601:surgery*; D006801:Humans; D023821:Limb Salvage / Q000379:methods; D008297:Male; D017534:Radial Artery / Q000601:surgery; D012092:Replantation / Q000379:methods*; D013524:Surgical Flaps