title: Composite graft including bone tissue: a case report of successful reattachment of multiple fingertip oblique amputation.
abstract: A composite graft for reattachment of an amputated fingertip is a very controversial and challenging procedure. An osteocutaneous composite graft is rarely conducted and has a low success rate following fingertip amputation. A 21-year-old male patient was referred to our emergency clinic with dorsal oblique amputation of the middle, ring and small fingers of the left hand through the distal interphalangeal joint and middle phalanx. The amputated parts of the middle and ring fingers were reattached with osteocutaneous composite grafts. The amputated part of the small finger was revascularised to the ulnar palmar digital artery of the small finger. The composite grafts of the middle and ring fingers and the revascularised small finger survived completely. We suggest that careful patient selection will allow an osteocutaneous composite graft to become an acceptable method for the treatment of fingertip amputation. A large-scale study of osteocutaneous graft of amputated fingertips is required to improve the survival rate.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Institute of Health Science, Gyeongsang National University College of Medicine, Jinju, Republic of Korea.
authors.forename: Kyung Suk
authors.initials: KS
authors.lastname: Lee
authors.forename: Yun sub
authors.initials: Ys
authors.lastname: Lim
authors.forename: Jaehoon
authors.initials: J
authors.lastname: Choi
authors.forename: Nam Gyun
authors.initials: NG
authors.lastname: Kim
authors.forename: Jun Sik
authors.initials: JS
authors.lastname: Kim
mesh_terms: D000673:Amputation, Traumatic / Q000601:surgery*; D016025:Bone Transplantation / Q000379:methods; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D008297:Male; D008866:Microsurgery / Q000379:methods; D009104:Multiple Trauma / Q000601:surgery*; D012092:Replantation / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods; D016378:Tissue Transplantation / Q000379:methods*; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology; D055815:Young Adult