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KMID : 1038220120390040404
Archives of Plastic Surgery
2012 Volume.39 No. 4 p.404 ~ p.410
Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part
Jung Mi-Sun

Lim Young-Kook
Hong Yong-Taek
Kim Hoon-Nam
Abstract
Background: First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults.

Methods: Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crush or avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmar pocketing method following a composite graft in these patients and prepared the pocket in the subcutaneous layer of the ipsilateral palm.

Results: Of a total of 10 cases, nine had complete survival of the replantation and one had 20% partial necrosis. All of the cases were managed to conserve the fingernails, which led to acceptable cosmetic results.

Conclusions: A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results.
KEYWORD
Amputation, Finger, Replantation
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