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[Reposition flap techniques in fingertip amputations: 6 cases].

L Ameziane1, S M Souhail, A Daoudi

  • 1Service de Traumatologie-Orthopédie, CHU, Fès, Maroc, France.

Revue De Chirurgie Orthopedique Et Reparatrice De L'Appareil Moteur
|July 19, 2002
PubMed
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The reposition flap is a viable alternative for fingertip amputations, preserving finger length and nail. This technique offers good outcomes for patients refusing finger shortening, though healing time can be lengthy.

Area of Science:

  • Hand surgery
  • Reconstructive surgery
  • Trauma surgery

Background:

  • Fingertip amputations pose challenges in restoring sensation, cosmesis, and function.
  • Existing methods include directed scarring and toe transfers, each with limitations.

Purpose of the Study:

  • To evaluate the reposition flap as an alternative surgical procedure for distal fingertip amputations.
  • To assess the efficacy of the reposition flap in preserving finger length and nail.

Main Methods:

  • The reposition flap procedure was performed on 6 patients with fingertip amputations.
  • Pulp was excised, bone and nail bed reattached, and a local advancement flap used for reconstruction.
  • Patients were young adults with work-related injuries who declined finger shortening.

Related Experiment Videos

Main Results:

  • The procedure resulted in good scarring and tissue viability.
  • Achieved two-point discrimination of 6 mm.
  • Constant bony fusion was observed, though distal interphalangeal joint stiffness occurred in all cases. Cosmetic results were generally good, with two instances of claw nail formation.

Conclusions:

  • The reposition flap is a promising alternative for fingertip amputations, especially when finger shortening is not desired.
  • It successfully preserves finger length and the nail, offering a viable option when distal reimplantation fails or is refused.
  • Potential drawbacks include prolonged wound healing, leading to work stoppage and cold intolerance.