Abstract

51-Year-Old male patient injured distal phalanx amputation with distal phalanx fracture from being hit by a metal pipe. The fingertip amputation was oblique through the lunula of the nail. After clearing the wound margin, we directly reattached the composite graft to the proximal stump. PGE-1 was administered intravenously for one week which was switched to oral administration after that. The amputated fingertip began appearing mummified since postoperative one week. Regenerated vital tissue gradually substituted the mummified portion. After 12 months, regeneration was complete. With mild pulp hypotrophy and the finger regained working function in its original length. This case present distal fingertip composite graft is ultimately salvaged through mummification in combination treatment with PGE-1.

Keywords: Fingertip; Amputation; Composite graft; Salvage; PGE-1