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Updated: Apr 28, 2026

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Challenges in fingertip replantation.

Jin-Soo Kim1, Jae-Won Yang1, Dong-Chul Lee1

  • 1Department of Plastic and Reconstructive Surgery, Hand and Microsurgery Center, Kwang-Myeong Sung-Ae General Hospital, Gyeong-Gi-Do, Korea.

Seminars in Plastic Surgery
|May 30, 2014
PubMed
Summary

Fingertip replantation offers superior outcomes for amputations but is underutilized. Addressing the unique anatomy of the fingertip enables microvascular surgeons to perform this complex procedure routinely.

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Area of Science:

  • Microsurgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Fingertip amputations present significant reconstructive challenges.
  • Replantation is often the preferred method for optimal outcomes.
  • Current practice shows limited consideration for replantation in many institutions.

Purpose of the Study:

  • To highlight the benefits of fingertip replantation.
  • To emphasize the technical considerations for successful fingertip replantation.
  • To advocate for the routine consideration of fingertip replantation by microvascular surgeons.

Main Methods:

  • Review of the specialized anatomy of the fingertip relevant to microsurgery.
  • Discussion of the technical steps involved in submillimeter vessel identification and reanastomosis.
Keywords:
fingertip amputationreplantation

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  • Analysis of factors contributing to the underutilization of fingertip replantation.

    • Main Results:

    • Fingertip replantation provides superior functional and aesthetic results compared to other methods.
    • Technical excellence in managing submillimeter vessels is crucial for success.
    • Overcoming anatomical challenges can make replantation a feasible option.

    Conclusions:

    • Fingertip replantation, despite its complexity, yields superior outcomes.
    • Addressing specific anatomical challenges is key to successful replantation.
    • With technical expertise, fingertip replantation can become a standard reconstructive procedure.