Concluded Case

Hand Surgery

29 years Police Constable, right handed, presented with right hand index finger distal amputation injury (Allen's Type IV) after 4 hrs of injury. Images as attached. Management plans?

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Concluded answer

we have done an unique approach for the management of the injury. we did a Graft Reposition Flap surgery... keeping fingers crossed for the good results.

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Flap reconstruction will give a good functional result preserving the length. One option apart from microvascular surgery.

I agree
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If there is possibility then can do V-Y plasty otherwise can close w thenar flap

Yes thenar flap is always an option, however I find local vy flaps like Kutler, Atasoy, Venkatswami flaps are very much possible
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we have done an unique approach for the management of the injury. we did a Graft Reposition Flap surgery... keeping fingers crossed for the good results.

It is basically a transverse cut over the finger tip leading to amputation. Finger flexors and extensors are working fine.