case_images: PMC10898269_01
case_images: Tamai zone 2 thumb amputation. (A) Distal stump dorsal view; (B) Distal stump volar view; (C) Distal stump X-rays; (D) Immediate reimplantation dorsal view; (E) Immediate reimplantation volar view; (F) Immediate reimplantation X-rays.
case_images: ICRP_A_2320882_F0001_C.jpg
case_images: PMC10898269_01_ICRP_A_2320882_F0001_C.jpg
case_images: F0001
case_images: Nerve suture was not conducted since spontaneous sensory recovery was expected in zone 1 replantation (Figure 1).
case_images: Tamai zone 2 thumb replantation 1 year post. (A) Dorsal view; (B) Volar view; (C) X-Rays view; (D) Kapandji score evaluation; (E) Thumb flexion volar view; (F) Thumb flexion dorsal view.
case_images: ICRP_A_2320882_F0002_C.jpg
case_images: PMC10898269_01_ICRP_A_2320882_F0002_C.jpg
case_images: F0002
case_images: On follow-up observation at 1 year, the aesthetic aspect of the finger was acceptable, the nail was plane, and the replanted finger had recovered an adequate range of motion and protective sensation (Figure 2).
case_images: PMC10898269_02
case_images: Tamai zone 1 fourth finger amputation. (A) Distal stump dorsal view; (B) Distal stump degloved; (C) Proximal stump X-rays; (D) Proximal stump dorsal view; (E) Proximal stump volar view; (F) Venkataswami digital flap.
case_images: ICRP_A_2320882_F0003_C.jpg
case_images: PMC10898269_02_ICRP_A_2320882_F0003_C.jpg
case_images: F0003
case_images: We performed an oblique triangular advancement flap (Venkataswami flap) (Figure 3).
case_images: Tamai zone 1 fourth finger reconstruction 1 year post. (A) Extension in volar view; (B) Flexion in volar view; (C) Extension in dorsal view; (D) Extension in ulnar view; (B) Flexion in ulnar view; (F) Extension in radial view.
case_images: ICRP_A_2320882_F0004_C.jpg
case_images: PMC10898269_02_ICRP_A_2320882_F0004_C.jpg
case_images: F0004
case_images: At the follow-up observation at 1 year, the amputated finger had recovered satisfactory range of motion and protective sensation, mild pulp atrophy was observed, and nail disfigurement was evident (Figure 4).