PMC8012787_01
Guillotine amputation of the index, middle, ring and little fingers of left hand through the shaft of proximal phalanx, neck of proximal phalanx, shaft of middle phalanx and distal interphalangeal (
DIP
) joint, respectively.
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PMC8012787_01_10-1055-s-0041-1723911_9_0866_01.jpg
FI-1
The level of amputation of the index, middle, ring and little fingers were through the shaft of proximal phalanx, neck of proximal phalanx, shaft of middle phalanx, and at the distal interphalangeal joint, respectively ( Fig. 1 ).
Clinical photo and the corresponding radiograph at 2 weeks and 6 weeks postreplantation.
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PMC8012787_01_10-1055-s-0041-1723911_9_0866_02.jpg
FI-2
The Kirschner wires were removed at 6 weeks and the patient was started on supervised physiotherapy and regular follow-up visits ( Fig. 2 ). 
Second time amputation of the replanted index and middle fingers. Note the intact web between the amputated fingers (arrow).
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PMC8012787_01_10-1055-s-0041-1723911_9_0866_03.jpg
FI-3
The amputation was obliquely oriented with the amputated fingers connected through skin flap of second web space ( Fig. 3 ).
Clinical photos and radiograph at 19 months following second replantation. Radiograph shows good fusion at the metacarpophalangeal (
MCP
) joint of index and bone union at the proximal phalanx of the middle finger. Patient was using the hand well with the middle finger and thumb opposition pinch.
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PMC8012787_01_10-1055-s-0041-1723911_9_0866_04.jpg
FI-4
He was able to oppose the thumb to the middle fingertip ( Fig. 4 ). 