title: Treatment of fingertip amputation in adults by palmar pocketing of the amputated part.
abstract: BACKGROUND
  First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults.
  
  
  METHODS
  Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crush or avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmar pocketing method following a composite graft in these patients and prepared the pocket in the subcutaneous layer of the ipsilateral palm.
  
  
  RESULTS
  Of a total of 10 cases, nine had complete survival of the replantation and one had 20% partial necrosis. All of the cases were managed to conserve the fingernails, which led to acceptable cosmetic results.
  
  
  CONCLUSIONS
  A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, Korea.
authors.forename: Mi Sun
authors.initials: MS
authors.lastname: Jung
authors.forename: Young Kook
authors.initials: YK
authors.lastname: Lim
authors.forename: Yong Taek
authors.initials: YT
authors.lastname: Hong
authors.forename: Hoon Nam
authors.initials: HN
authors.lastname: Kim