fig3

Figure 3. (A) Industrial accident with complete amputation of the small and ring fingers with partial amputations of the index and long fingers. The small, ring, and index fingers were not salvageable. The long finger was perfused, but there was destruction of the PIP joint; (B) A revision amputation of the small finger was performed with isolation of its vascular pedicle; (C, D) The PIP joint of the small finger was transferred to the long finger as a free vascularized joint to replace the long finger PIP joint and restore length.