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Treatment of Fingertip Injuries. | LitMetric

Treatment of Fingertip Injuries.

JBJS Rev

Georgia Hand, Shoulder, and Elbow, Atlanta, Georgia.

Published: April 2020

AI Article Synopsis

  • The main goal in treating fingertip injuries is to reduce infection risk while enhancing function, sensation, and appearance of the fingertip.
  • Effective treatment involves careful coverage of soft tissue and preserving the nail bed when possible.
  • If reattachment of a severed fingertip isn't feasible, using local or regional flap reconstruction can provide quick soft tissue coverage and improve recovery.

Article Abstract

The goal of care when treating fingertip injuries is to minimize the risk of infection while maximizing function, tactile sensation, digit length, pulp padding, and appearance. This outcome can be achieved with careful soft-tissue coverage and, if possible, nail-bed preservation. When replantation for a fingertip amputation is not possible for anatomic or logistical reasons, local or regional flap reconstruction can be a useful alternative to gain early soft-tissue coverage and allow more functional rehabilitation. Reviewing current fingertip soft-tissue coverage procedures and demonstrating key anatomic and technical points with cadaveric dissections provides a foundation for the incorporation of these techniques into practice.

Download full-text PDF

Source
http://dx.doi.org/10.2106/JBJS.RVW.19.00182DOI Listing

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