The distal portions of the digits of our hands are most exposed to trauma. Since they are continually in conact with a multitude of dangerous objects including machines and knives, the fingertips are commonly injured in military service.
There are arguement on whichtype of repair is best for the care of injured fingertips. For one patient, shortening of the fingertip and closure by locally innervated flaps would be the best treatment; for another, it would be advantageous to reconstruct this area with a free graft or a pedicle flap. But operator should take into account such factors as the level of amputaion, the digit involved, the occupation, the age of the patient, and complicated injuries.
During ten months from June, 1981 to April, 1982, authors treated many patients who had finger amputation injuries at 103rd Field Hospital, and among other method 22cases were treated by flap technic; 6 fingers were covered by locally innervated flap, and remaining 24 finers were covered by distant flaps.
The results were satisfactory, and we represent with a review of literature.
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