AI Article Synopsis
- The study evaluated a conservative treatment for fingertip injuries with volar pulp defects, using artificial dermis and semi-occlusive dressings.
- Findings showed minimal complications and significant outcomes, including high fingerprint regeneration and low post-treatment pain.
- Patient satisfaction with the treatment's functionality and appearance was notably high, supporting this approach as effective and less invasive.
Article Abstract
Fingertip injuries with volar pulp tissue defects present a significant challenge in management. This study aimed to evaluate the efficacy of a conservative treatment protocol using artificial dermis and semi-occlusive dressings for these injuries. A single-center, prospective study was conducted on 31 patients with fingertip injuries involving volar pulp defects. The treatment protocol included wound debridement, application of artificial dermis (Pelnac), and a semi-occlusive dressing (IV3000). The outcomes were assessed using subjective questionnaires and objective measures, including fingerprint regeneration, sensory function, pain, and cosmetic appearance. The mean treatment duration was 45.29 days (SD = 17.53). Complications were minimal, with only one case (3.22%) directly attributable to the treatment. Fingerprint regeneration was considerable (mean score = 2.58, SD = 0.67). The sensory disturbances were minimal, with no significant differences across injury types. Post-treatment pain was low (mean = 0.45, SD = 0.67), and cosmetic satisfaction was high (mean = 4.09, SD = 0.94). The overall patient satisfaction was high (mean = 4.41, SD = 0.67), regardless of injury severity. The conservative treatment protocol using artificial dermis and semi-occlusive dressings is a promising strategy for managing fingertip injuries with volar pulp defects. This approach minimizes surgical morbidity and achieves excellent functional and aesthetic outcomes.
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| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11242295 | PMC |
| http://dx.doi.org/10.3390/jcm13133646 | DOI Listing |
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