HomeAnswersplastic surgery-reconstructive and cosmetic surgeryreconstructive operationsHow to treat complications of a reattached index fingertip?

I have issues with the reconstructive surgery done on my right index fingertip. Kindly help.

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At November 21, 2021
Reviewed AtMarch 12, 2024

Patient's Query

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 feelings. But it has left me with major insecurity.

Answered by Dr. Kuljyot Bajaj

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 towards what level 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). Thanks.

Patient's Query

Thank you doctor,

The deformity of my nail has made me insecure for years, and there is no visible scar, surprisingly. But it was just below my nail.

Answered by Dr. Kuljyot Bajaj

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 as germinal matrix) has got injured. As a result, deformity in the nail was caused. Although there have been many case reports on the literature of managing this problem with a graft from other fingers or toes, the results are not always 100%, and it has got a risk of causing damage to your normal finger or toenails. The management would depend on how much 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 result in a potential risk of causing damage to it. Please let me know if you have further queries. Best wishes.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Kuljyot Bajaj
Dr. Kuljyot Bajaj

plastic surgery-reconstructive and cosmetic surgery

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