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ArticleEuropean journal of orthopaedic surgery & traumatology : orthopedie traumatologie2026

Spare part composite graft for traumatic fingertip amputation: a case series.

Wahyu Widodo, Wildan Latief, Witantra Dhamar Hutami, Rio Wikanjaya, Nanda Notario Besri, Rheza Fabianto Sebastian, Ilham Suryo Wibowo Antono

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Article in European journal of orthopaedic surgery & traumatology : orthopedie traumatologie, 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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5 · Who and what money

Authors and funding

7 authors.

Wahyu WidodoDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Wildan LatiefDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Witantra Dhamar HutamiDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia. witantra.dhamar.h@gmail.com.
Rio WikanjayaDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Nanda Notario BesriDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Rheza Fabianto SebastianDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.
Ilham Suryo Wibowo AntonoDepartment of Orthopaedic and Traumatology, Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPreviously, traumatic amputations particularly those caused by blunt trauma were treated with proper subsequent amputations. However, this led to postoperative pain, disturbances in multiple functions of the extremities including sensory capability and fine motor dexterity.

methodsWe presented five cases of traumatic fingertip amputation treated with spare part composite graft. In spare part composite grafting, both the amputated finger and the distal end (stump) of injured finger was fixated directly after skeletonization of the amputated finger. The blood supply initially depends on diffusion, and later with neovascularization. The regional flap for the soft tissue defect closure was then applied to the composite graft. At the final follow-up of minimum a month, complete graft survival with favorable functional and aesthetic outcomes with minimal complications were observed. Four of the cases had preserved, normal sensory. DISCUSSION AND

conclusionThe spare part composite graft and the use of regional flap for defect closure is an alternative option in selected fingertip amputation with satisfactory results.

Indexed as

Amputation, TraumaticFinger InjuriesSurgical FlapsAdultChild, PreschoolGraft SurvivalHumansInfantMalePlastic Surgery ProceduresTreatment Outcome

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