We report the replantation of amputated fingertips (Zone I) in six children. The children were 0 years 4 months to 12 years 10 months of age. The fractures were fixed with steel wire. All patients had one arterial anastomosis, two had venous anastomosis, and one had nerve suture. For infants who were unable to maintain rest, cast immobilization was used to elevate the affected limb for rest. To prevent congestion, pinprick was performed in two cases, and fish mouth was performed in two cases. In two cases, only an arterial anastomosis was performed without stasis measures. All cases were viable. Although only arterial anastomosis could be performed for replantation of the fingertips in children, the survival rate was good; however, the need for inpatient general anesthesia and management was a problem.
