Repair of fingertip lacerations and amputations

Even minor losses of fingertip skin or subcutaneous tissue can be disabling. The location, size and orientation of the defect must be meticulously assessed. Particular attention to technique is required in providing digital block anesthesia, in using Z-plasty to redirect wounds which cross flexion creases and in providing adequate coverage of fingertip amputations. A correct repair will allow rapid recovery and an early return to activities.