Abstract: Objective　To explore the methods of replantation of severed fingertip with long-term warm ischemia. Methods　From March 2017 to December 2019, 17 patients (19 fingers) with warm ischemia time of 8-19 hours were reviewed. Replantation was performed by emergency microsurgery. Results　In this group, 16 fingers were successfully replanted and 3 fingers failed, with a success rate of 84.2%. Conclusion　There is still a high possibility of successful replantation of severed fingertip with long-term warm ischemia, which should not be easily given up and lead to fingertip defect and partial functional impairment.

Key words: Fingertip amputation, 　Warm ischemia, 　Replantation