Clinical Papers: Southeastern Society of Plastic and Reconstructive SurgeonsPatterns of Finger Amputation and Replantation in the Setting of a Rapidly Growing Immigrant PopulationGavrilova, Nadezhda BS*; Harijan, Aram MD*; Schiro, Sharon PhD†; Hultman, Charles Scott MD, MBA*; Lee, Clara MD, MPP* Author Information From the Division of *Plastic Surgery, and †Trauma Surgery, Department of Surgery, University of North Carolina, Chapel Hill, NC. Received September 3, 2009, and accepted for publication, September 6, 2009. Ethel and James Valone Plastic Surgery Research Endowment, NIH/NCRR 1KL2RR025746-01 (to C.L.). NC Division of Public Health, Injury and Violence Prevention Branch (to S.S.). Presented at the 52nd Annual Meeting of the Southeastern Society of Plastic and Reconstructive Surgeons; June 2009; Rio Mar, Puerto Rico. Reprints: Clara Lee, MD, MPP, Suite 7040, Burnett Womack, CB 7195, UNC Plastic Surgery, Chapel Hill, NC 27599-7195. E-mail: [email protected]. Annals of Plastic Surgery: May 2010 - Volume 64 - Issue 5 - p 534-536 doi: 10.1097/SAP.0b013e3181bffcaf Buy Metrics Abstract To determine the incidence of finger amputation and replantation in North Carolina (NC) and to identify patterns of injury by race and immigration status. Finger amputation injury data were obtained from the NC hospital discharge database. Hospital discharge data were linked to 2000 US Census data by zip code of residence to estimate median income, the percentage of Hispanics, and the percent foreign-born. A total of 556 admissions for finger amputations (86% male, 14% female) occurred in NC during 2004–2006. The most common mechanism was industrial machinery (36%). Eighty-nine replantations were performed (16%). Finger amputation is a common work-related injury in NC. The rate of replantation appeared to be higher in zip codes with a higher density of Hispanics and with a higher density of immigrants. More data on injury that includes racial/ethnic, social, and economic information will be critical to understand the true burden of injury on immigrants. © 2010 Lippincott Williams & Wilkins, Inc.