Fingertip and Thumb Tip Wounds: Changing Algorithms for Sensation, Aesthetics, and Function.

J Hand Surg Am

Ethianum for Clinic Plastic, Hand and Reconstructive Surgery, University of Heidelberg, Heidelberg, Germany.

Published: April 2017

Management of fingertip and thumb tip injuries has recently undergone substantial changes. The time-proven traditional armamentarium of local flaps has been expanded and replaced by a wide variety of flaps. Simultaneous with the development of new flaps, the conservative treatment of fingertip and thumb tip injuries with semiocclusive dressings has also become a more acceptable treatment for these injuries. The excellent results with respect to restoring contour, sensibility of the pulp, and aesthetics of the finger justify this more tedious and time-consuming treatment of fingertip and thumb tip injuries. This article gives an update of the most commonly used flaps and the semiocclusive dressing treatments of fingertip and thumb tip injuries.

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http://dx.doi.org/10.1016/j.jhsa.2017.01.022DOI Listing

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