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Abstract: 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 &y& Elsevier]