Fig. 1.

A 26- year- old male sustained an injury using a saw circular saw. a) Injuries included a distal phalanx fracture of the thumb and index finger. In addition, there was a 2- cm nerve gap associated with the index finger injury. b) After irrigation and debridement, nerve graft conduit, percutaneous pinning. Integra® was applied and covered with a compressive dressing. c) Two weeks following Integra® application. d) Split-thickness, meshed skin graft application harvested from proximal forearm. e, and f) Two months following skin graft application