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(A) Oblique avulsion of the left middle finger pad. The subcutaneous tissue of the avulsed finger had been intensely crushed, making replantation difficult. (B) Avulsed finger skin grafting to the thenar flap raised site. (C) Suturing of the flap without tension. (D) At 3 months after surgery, there is favorable fingertip form, no contracture in the skin grafted area, and good color/texture match.
