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Objectives: Replantation of a single finger amputated at the flexor zone 2 level keeps contradicting because the replanted finger may get in the way of other digits due to stiffness. On the other hand, some studies concluded that as the replantation results do not differ from stump closure, one should not immediately head towards stump closure. Therefore, we aimed to present our functional results of this level of replantation. Methods: Twenty-one patients with replantation for single finger flexor zone 2 total amputation were enrolled in the study. Kirschner wires were used to fix the bone. Only flexor digitorum profundus (FDP) tendon was repaired. Two veins per digital artery were anastomosed. Early motion was allowed from the third postoperative week. The functional results were assessed by Quick-DASH and modified Mayo scores, total active range of motion (TAM), and presence of cold intolerance. Results: The mean follow-up period was 33.9 (range 24-79) months. The mean Quick-DASH score was 18.1±8.6 (range 2.3-38.6). According to the modified Mayo score, three patients had excellent, nine had good, seven had fair, and two had poor results. TAM was found to be excellent in three, good in eleven, fair in five, and poor in two patients. Conclusion: We recommend bone fixation preserving the joints, only FDP tendon repair, vein anastomoses as many as possible, and early motion to achieve successful results in single finger amputations replanted at the flexor zone 2 level. [Hand Microsurg 2021; 10(3.000): 211-218]

Objective We aimed to analyze the resulting effects of COVID-19 pandemic on hand surgery outpatient clinic application trends, and to highlight the patients attitude towards surgical procedures. Methods Data of patients who applied to outpatient clinic between March 13,2020 and June 1,2020 were collected. The control group consisted of patients who applied during the same period in 2019. Information regarding the patient demographics, outpatient clinic attendances, main complaints, and diagnoses were obtained. Elective surgery recommended patients were called when elective operations resumed. Among these patients, those who refused to undergo surgery and their concerns for not agreeing were collected. Results Between 2019 and 2020 there is a %56 decrease in our hospital hand surgery outpatient clinics applications. It is observed that patients mean age decreased significantly during COVID-19 period (p [Hand Microsurg 2021; 10(3.000): 203-210]

Avulsion of the flexor digitorum profundus (FDP) and superficialis (FDS) tendons in the same finger as a result of closed trauma is very rarely seen. Here in, the radiological and functional results of 59-year-old male patient treated for avulsion fracture of the FDS tendon combine with avulsion of the FDP tendon in the 4th finger as a result of closed trauma are presented. [Hand Microsurg 2017; 6(3.000): 150-153]