ArticleCureus2026
Primary Reapproximation of a Near-Amputated Distal Fingertip With Nail Bed Involvement and Minimal Soft Tissue Attachment: A Case Report.
Article in Cureus, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Minimally attached near-complete distal fingertip amputations are often treated with revision amputation due to concerns of vascular compromise. Composite graft survival in adults has long been viewed as unpredictable, especially in smokers. Survival rates vary widely, and smoking has been identified as an independent risk factor for graft failure. We describe an 18-month follow-up of an Allen type II near-amputated distal fingertip (nail bed involvement without bone exposure), with an approximately 3-mm volar dermal bridge. The injury was managed with primary reapproximation using interrupted nylon sutures and a transungual nail plate suture for stabilization. Estimated ischemia time was approximately 2.5 hours. Despite chronic nicotine exposure, the patient achieved complete epithelialization, normal nail growth, preserved 4-mm static two-point discrimination, excellent cosmesis, and full functional recovery at 18 months. Only mild persistent subjective numbness compared to the contralateral fingertip was reported. This case demonstrates that when perfusion remains evident and the mechanism is a sharp cutting injury, primary salvage can succeed even with minimal attachment and a smoking history.
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