Does index fingertip replantation need follow-up later?

Question

Hello doctor,

I have a few questions about reconstructive surgery done on my right index fingertip. When I was two years old, my right index fingertip was chopped off by a bicycle chain. The doctor was able to reattach it without loss of feeling. But it has left me with major insecurity. Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

Thank you for putting up with the query.

I have seen the attached picture (attachment removed to protect patient identity). From what it looks like, you have got a successful result of replanting the digit. However, there is a deformity of the nail. Could you please elaborate on what insecurity you have in your finger?

To answer your query in detail, could you please point to the level at which you had your finger amputation when you were two years old? You can help by sending another picture with a line drawn at the scar (which is not visible in the image).

I hope this helps.

Kindly revert so I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

Thanks for getting back. Since you had an injury and amputation just below your nail bed, the growth plate of the nail (what we call the germinal matrix) has been injured. As a result, deformity in the nail was caused. Although there have been many case reports in the literature on managing this problem with a graft from other fingers or toes, the results are not always 100%, and it has a risk of causing damage to your normal finger or toenails.

The management would depend on how many problems you are facing in your daily routine with this deformity and if you are willing to take a graft from a normal finger or toe, which would result in a potential risk of causing damage to it.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.