We reviewed 6 cases (6 fingers) of amputation through distal phalanx or DIPJ, so called zone I and II, of the children.
3 cases of them were successful and the other 3 cases were failed.
In all but one only digital artery could be anastomosed. It is common there was no veins that could be anastomosed at this level of amputation.
It is the most important problem how to avoid or decrease the venous congestion in these cases.
In successful 2 cases fish mouth incision was made at the end of the fingers.
While in failed 3 cases only milking was added.
We stressed that only arterial anastomosis and fish mouth incision could lead to success of replantation of the amputation through Zone I or II.
