Salvage of the ring avulsed finger in heavy manual workers.

Complete ring avulsion amputation (class III) injuries are difficult management problems, especially when they occur in heavy manual workers. By excising the bit of bone detached with the skin tube, opening up the skin tube into a flap and replanting it onto the proximal stump, two such cases were salvaged successfully, with early recovery of function. The fingers were shortened by 1.5 cm, had a normal nail, touch sensation and absence of cold intolerance and pain. Both of the patients returned to work in 4 months.