In finger tip replantation, venous anastomosis is often a difficult procedure. Instead of venous anastomosis, phlebotomy by fish mouth incision, removal of the nail bed, or delayed venous drainage, is performed. But these treatments are not always effective. We performed palmar plexus salvage procedure for venous drainage reported by Tanabe et al. in 2006 in 3 cases (5 fingers: index 1, middle 2, ring 2) after finger tip replantation with venous congestion. In our cases, 4 fingers were successfully treated and 1 finger failed. This procedure is easy to perform for venous congestion. The complication in our cases included delayed epithelization, delayed sensory recovery, and flexion contracture, especially in elderly patients.
