Advertisement

Replantation of the Final Segment of the Finger (Finger Tip)

  • Jian Lin
  • He-Ping Zheng
  • Yong-Qing Xu
  • Tian-Hao Zhang
Chapter

Abstract

The final segment of the finger is the furthest structure of the hand, the most frequently used in daily life, and has the highest rate of injury; thus, replantation of the final segment of the finger (fingertip) is common. The functioning of the finger will be seriously affected if the final segment is missing, even though it is small. Compared with the flap method of retaining the length of the finger, replantation is irreplaceable in the recovery of appearance, movement, and feeling. In principle, if the systemic condition of the patients permitted it, if the structure of the severed finger was more or less complete, and if patients and their families required replantation, replantation should be chosen whenever possible.

Suggested Reading

  1. Chen YC, Chan FC, Hsu CC, Lin YT, Chen CT, Lin CH. Fingertip replantation without venous anastomosis. Ann Plast Surg. 2013;70(3):284–8.PubMedPubMedCentralGoogle Scholar
  2. Chengwu Z, Rui Z, Hang Z, et al. Application of different methods in fingertip replantation. Chin J Hand Surg. 2013;29(3):185–6.Google Scholar
  3. Chunjiang L, Xiaona F, Wang B, et al. The application of arteriovenous shunt in replantation of amputation of fingertip. Chin J Hand Surg. 2009;25(2):125–6.Google Scholar
  4. Guang C, Haifeng S, Yongjun R, et al. Clinical study of a reformed non-physiological method for fingertip replantation. Chin J Hand Surg. 2012;28(2):88–9.Google Scholar
  5. Hui X, Jiewen L, Lijun X. The experience of replantation of fingertip distal to nail. Chin J Microsurg. 2005;28(1):73.Google Scholar
  6. Huijiang S, Liang J, Jun Y, et al. Application of transferring branch of fingertip artery in replantation of amputated fingertip. J Beihua Univ (Nat Sci). 2005;6(3):236–7.Google Scholar
  7. Imaizumi A, Ishida K, Arashiro K, Nishizeki O. Validity of exploration for suitable vessels for replantation in the distal fingertip amputation in early childhood: replantation or composite graft. J Plast Surg Hand Surg. 2013;47(4):258–62.CrossRefPubMedGoogle Scholar
  8. Mingrui C, Li T, Yan S, et al. Surgical anatomy of nerves and blood vessels of the finger distal phalanx and its clinical significance. Chin J Orthop Trauma. 2005;11:52–4.Google Scholar
  9. Scheker LR, Becker GW. Distal finger replantation. J Hand Surg Am. 2011;36(3):521–8.CrossRefPubMedGoogle Scholar
  10. Shiming L, Changqing Z, Yanling Z, et al. Replantation of complete amputation of fingertip distal to nail semilunar line. Chin J Hand Surg. 2003;19(3):145–6.Google Scholar
  11. Venkatramani H, Sabapathy SR. Fingertip replantation: technical considerations and outcome analysis of 24 consecutive fingertip replantations. Indian J Plast Surg. 2011;44(2):237–45.CrossRefPubMedPubMedCentralGoogle Scholar
  12. Wang Q. Application of digital artery for recirculation in replantation of distal digits with venous defects. Chin J Orthop Trauma. 2006;6:583–4.Google Scholar
  13. Wang Q, Qing X, Hua J, et al. 25 cases of replantation of fingertip with cross-anastomosis of digital artery. Chin J Trauma. 2007a;23(5):392–3.Google Scholar
  14. Wang Q, Hua J, Yang D, et al. Replantation of fingertip in children with enlarging the medullary cavity. Chin J Pediatr Surg. 2007b;28(3):167–8.Google Scholar
  15. Xiaofeng T, Hong C, Wang X, et al. Therapeutic analysis in 980 cases of digital replantation of distal segment. Chin J Pract Hand Surg. 2003;17(1):29–30.Google Scholar
  16. Yoshimatsu H, Yamamoto T, Seki Y, Narushima M, Iida T, Koshima I. A new device expanding operability of fingertip replantation: subzone 1 fingertip replantation assisted by non-enhanced angiography in a 2-year-old boy. J Plast Reconstr Aesthet Surg. 2012;65(11):1592–4.CrossRefPubMedGoogle Scholar
  17. Zhongmei C, Liang S, Yuanzhuang C, et al. Simple artery anastomosis of finger distal segment replantation. Chin J Microsurg. 2002;25(4):306–7.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2018

Authors and Affiliations

  • Jian Lin
    • 1
  • He-Ping Zheng
    • 2
  • Yong-Qing Xu
    • 3
  • Tian-Hao Zhang
    • 1
  1. 1.Department of Orthopaedic SurgeryXin-hua Hospital (ChongMing)ShanghaiChina
  2. 2.Clinical Anatomic CenterNanjing District General Hospital of PLAFuzhouChina
  3. 3.Orthopaedic DepartmentKunming General Hospital of PLAKunmingChina

Personalised recommendations