New technique for non-microsurgical reattachment of avulsed fingertips in adults.

Abstract Fifteen patients (aged 21-45 years) with avulsion injuries to a fingertip were reviewed. We report a new technique, in which the subcutaneous pulp flap is combined with the cap technique of the nail complex, for avulsed fingertips in adults. The bone of the avulsed part is excised and the fat removed. The nail complex is preserved, and the subcutaneous pulp flap used to improve the take at the cap-nail complex. This technique is simple, safe, and cost and time effective. It is a good option for repair of an avulsed fingertip.