Sheikh Sarfraz ALI, Imran AHMAD, Rupraj ABHISHEK, Noha REHMAN
Turkish Journal of Plastic Surgery - 2026;34(1):1-7
Background: Fingertip contributes to the pincer function as well as the esthetic appearance of the hand. Fingertip amputations are commonly encountered in the emergency department. Their management options range from conservative methods to replantation. Materials and Methods: This prospective study included a total of 30 patients presenting with fingertip amputations. Surgical procedures involved microsurgical and nonmicrosurgical reconstruction of the amputated stump. Postoperative assessments, clinical photography, and patient questionnaires in the follow-up period were done. Results: In microsurgical series, fingertip replantation was done in 15 patients. Replantation was successful in 13 patients and 2 patients needed revision surgery. Fifteen patients underwent nonmicrosurgical reconstruction for fingertip amputation. Functional outcomes were similar in both groups, but esthetic outcomes were superior in the replantation group. Patient satisfaction was higher in the microsurgical group. Conclusion: Fingertip replantation should be done whenever possible for better esthetic results. It requires expertise as well as availability of resources, whereas nonmicrosurgical procedures can be done when the amputated part is not brought by the patients or resources are not available for replantation procedures.
