Arch Plast Surg.  2012 Jul;39(4):404-410. 10.5999/aps.2012.39.4.404.

Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part

Affiliations
  • 1Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, Korea. plastika@naver.com

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

MeSH Terms

Adult
Amputation
Cosmetics
Fingers
Humans
Nails
Necrosis
Replantation
Transplants
Cosmetics
Full Text Links
  • APS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2022 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr