title: Distal phalanx amputation with delayed presentation and successful reconstruction with reposition and flap after 2 weeks.
abstract: Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal finger amputations, replantation is the procedure of choice, as long as the amputated fragment is viable. If replantation is not an option, reposition + flap using a neurovascular flap can be an efficient option, as this offers improved skin coverage. To the best of our knowledge, this case illustrates the longest cold ischaemic time with a successful outcome.
authors.affiliation: Hand and Reconstructive Microsurgery Service, Hospital Sao Lucas Medical School, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Jefferson
authors.initials: J
authors.lastname: Braga-Silva
authors.affiliation: Hospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Renato Franz Matta
authors.initials: RF
authors.lastname: Ramos
authors.affiliation: Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Gabriela Meirelles
authors.initials: GM
authors.lastname: Marchese
authors.affiliation: Hospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.
authors.forename: Pedro Salomao
authors.initials: PS
authors.lastname: Piccinini
keywords: Amputation; fingertip; hand; reconstruction; trauma