Finger-tip injuries with significant loss of terminal pulp are a commonplace in industry and not infrequent in nonindustrial traumatic surgical practice. Available techniques for the repair of these injuries range from the simple expedient of digital shortening procedures, through a variety of free grafts, including composite replacements, to pedicle graft reconstructions via local or distant flaps. It is the thesis of this paper that, within the context of individual objective evaluation of each case, local pedicle graft procedures utilizing readily available replacement tissues of superior functional quality are the operations of choice, in most instances, for repair of bulk loss of distal phalangeal pulp.
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SMITH et al. (1965) studied this question.