Management of finger amputations varies in relation to the number of fingers amputated, the phalangeal level at which the amputation has occurred and the integrity of the soft tissue remaining. .
After obtaining the X-rays the surgeon determines the degree of damage to the fingers and hands. The surgical approach takes into consideration the balance between finger amputation and replantation, relative to the functional outcome and cosmetics. In case of fingertip amputation, the surgeon removes the dead tissue, shortens the bone if necessary, and closes the extremity with a tissue flap.
If the amputation is extensive (involving the phalanges and soft tissue), the detached extremity is preserved under sterile and moist condition for a possible replantation. A soft tissue graft taken from other body parts may be required in case of abundant tissue loss. The goal of surgery is to create a suitable anatomy to eventually fit a finger prosthesis if replantation is not possible.
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