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No, it's not because of insurance, although I can think of a few insurance companies who might argue that reattaching fingers is not “medically necessary.” Also, it's not because hand surgeons are lazy. The general indications for replantation of a digit are any finger in a child, multiple digits in an adult, or any thumb. Some surgeons will attempt single-digit replantations as long as they are distal to the flexor digitorum superficialis insertion. So why don't we replant every digit? The main
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