Modern surgical techniques allow reattachment of severed digits in many circumstances. A patient with one or more indications and no contraindications for reattachment should be referred to a center specializing in this form of surgery.



(1) clean guillotine-type amputation

(2) amputation through the middle phalanx of the digit

(3) amputations of multiple digits

(4) amputation of the thumb



(1) crush injury

(2) avulsion injury

(3) heavy contamination with bacteria, environmental debris or chemicals

(4) multiple level amputations of the same extremity

(5) improperly preserved digit


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