Introduction: In the case of multidigital hand trauma, the tissue of the amputated parts can be used for the reconstruction of the defected tissue localized on the other fingers.
Patients and methods: A series of seven patients has been reviewed in this paper; the authors illustrate the different possibilities of using the "spare-parts concept" in the emergency hand trauma surgery.
Results: The functional results are presented.
Discussion: The different techniques of reconstruction using the "spare-parts concept" are discussed.
Conclusion: In the cases of multidigital lesions, the surgeon should choose the best opportunity to use the tissue of the amputated digits, or the non-conservable ones, to reconstruct the neighboring preserved segments.
Copyright 2009 Elsevier Masson SAS. All rights reserved.