European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026
Spare part composite graft for traumatic fingertip amputation: a case series.
СтатьяКлинический случайНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Widodo Wahyu, Latief Wildan, Hutami Witantra Dhamar, Wikanjaya Rio, Besri Nanda Notario, Sebastian Rheza Fabianto, Antono Ilham Suryo Wibowo
Аннотация
INTRODUCTION: Previously, traumatic amputations particularly those caused by blunt trauma were treated with proper subsequent amputations. However, this led to postoperative pain, disturbances in multiple functions of the extremities including sensory capability and fine motor dexterity.
METHODS: We presented five cases of traumatic fingertip amputation treated with spare part composite graft. In spare part composite grafting, both the amputated finger and the distal end (stump) of injured finger was fixated directly after skeletonization of the amputated finger. The blood supply initially depends on diffusion, and later with neovascularization. The regional flap for the soft tissue defect closure was then applied to the composite graft. At the final follow-up of minimum a month, complete graft survival with favorable functional and aesthetic outcomes with minimal complications were observed. Four of the cases had preserved, normal sensory.
DISCUSSION AND CONCLUSION: The spare part composite graft and the use of regional flap for defect closure is an alternative option in selected fingertip amputation with satisfactory results.
METHODS: We presented five cases of traumatic fingertip amputation treated with spare part composite graft. In spare part composite grafting, both the amputated finger and the distal end (stump) of injured finger was fixated directly after skeletonization of the amputated finger. The blood supply initially depends on diffusion, and later with neovascularization. The regional flap for the soft tissue defect closure was then applied to the composite graft. At the final follow-up of minimum a month, complete graft survival with favorable functional and aesthetic outcomes with minimal complications were observed. Four of the cases had preserved, normal sensory.
DISCUSSION AND CONCLUSION: The spare part composite graft and the use of regional flap for defect closure is an alternative option in selected fingertip amputation with satisfactory results.