A black finger does not equal a dead finger

Shalimar Abdullah, and William H, and Levin KB, and Parminder GS, and Nur Azuatul AK, and Tan, JA and Ahmed Suparno BM, (2018) A black finger does not equal a dead finger. Medicine & Health, 13 (2). pp. 229-234. ISSN 2289-5728


Official URL: https://www.medicineandhealthukm.com/toc/13/2


Revascularisation and replant surgery occasionally produces sub-optimal results. We present two cases of near total amputation of the digits. The first patient was an 11-year-old boy with a middle finger avulsion injury sustained after the finger was caught in a washing machine with the flexor digitorum profundus still attached. The second patient was a 42-year-old male who sustained a machete attack and had near total amputation of his small and ring fingers with a 2 cm skin bridge still attached. All patients underwent revascularization with repair of only one digital artery for each finger as the opposite artery was non-viable. No digital veins were repaired. Relief of venous congestion was done by pin-prick six times a day up till one week. At one week post-surgery, the fingers were discoloured black but had good pulp turgor and full contour with arterial bleed on pin-prick. Inexperienced surgeons may view this as gangrene and amputate the fingers. However, we continued observation and at one month post-surgery, the black skin had desloughed and the underlying skin was pink.

Item Type:Article
Keywords:Amputation; Black; Ischaemia; Replantation; Revascularization
Journal:Medicine & Health
ID Code:20627
Deposited By: ms aida -
Deposited On:24 Nov 2022 07:33
Last Modified:28 Nov 2022 13:16

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