Fingertip (Tamai Zone I) Replantation under Local Anesthesia

Venous anastomosis is the most challenging part of fingertip replantation, where vein-to-vein anastomosis should be considered as the first-line option for its restoration. If the sizable vein cannot be identified, arterial-venous shunting and two-staged subdermal pocket procedure shall be the alternative surgical options. Arterial anastomosis-only replantation technique is an option when the vein is unavailable.