Techniques useful in closing amputations of fingertip. A, For amputations at more distal levels, a free split graft is applied; at more proximal levels, bone is shortened to permit closure, or if length is essential, dorsal flaps can be used. B, For amputations through green area, bone can be shortened to permit closure or cross-finger or thenar flap can be used. C, For amputations through green area, bone can be shortened to permit closure, exposed bone can be resected, and a split-thickness graft can be applied; Kutler advancement flaps can be used, or a cross-finger flap can be applied. In small children, fingertips commonly heal without grafts.