Fingertip injuries
Sanjay Saraf, Vk Tiwari, Sanjay Saraf, Vk Tiwari
Abstract
Background: Fingertip injuries are extremely common. Out of the various available reconstructive options, one needs to select an option which achieves a painless fingertip with durable and sensate skin cover. The present analysis was conducted to evaluate the management and outcome of fingertip injuries.
Materials and methods: This is a retrospective study of 150 cases of fingertip Injuries of patients aged six to 65 years managed over a period of two years. Various reconstructive options were considered for the fingertip lesions greater than or equal to 1 cm(2). The total duration of treatment varied from two to six weeks with follow-up from two months to one year.
Results: The results showed preservation of finger length and contour, retention of sensation and healing without significant complication.
Conclusion: The treatment needs to be individualized and all possible techniques of reconstruction must be known to achieve optimal recovery.
Keywords: Avulsed fingertip; fingertip injuries; fingertip lacerations.
Conflict of interest statement
Conflict of Interest: None declared.
Figures
References
- Kelsey Jl, Pastides H, Kreiger N, et al. Upper extremity disorders: A survey of their frequency and cost in the United States. Mosby: St Louis, Mo; 1980.
- Beasley RW. Reconstruction of amputated fingertips. Plast Reconstr Surg. 1969;44:349–52.
- Lister G. The hand: Diagnosis and indications. 3rd ed. Edinburgh: Churchill Livingstone; 1993. pp. 121–5.
- Rosenthal EA. Treatment of fingertip and nail bed injuries. Orthop Clin North Am. 1983;14:675–97.
- Evans DM, Bernadis C. A new classification for fingertip injuries. J Hand Surg Br. 2000;25:58–60.
- Allen MJ. Conservative management of finger tip injuries. Hand. 1980;12:257–65.
- Chow SP, Ho E. Open treatment of fingertip injuries in adults. J Hand Surg. 1982;7:470–6.
- Mennen U, Wiese A. Fingertip injuries management with semi-occlusive dressing. J Hand Surg. 1993;18:416–22.
- Napier JR. The return of pain sensibility in full thickness skin grafts. Brain. 1952;75:147–66.
- Ponten B. Grafted skin observations on innervation and other qualities. Acta Chir Scand Suppl. 1960;257:1–78.
- Porter RW. Functional assessment of transplanted skin in volar defects of the digits: A comparison between free grafts and flaps. J Bone Joint Surg Am. 1968;50:955–63.
- Elliot D, Moiemen NS. Composite graft replacement of digital tips. 1. Before 1850 and after 1950. J Hand Surg Br. 1997;22:341–5.
- Moiemen NS, Elliot D. Composite graft replacement of digital tips. 2. A study in children. J Hand Surg Br. 1997;22:346–52.
- Atasoy E, Ioakimidis E, Kasdan ML, Kutz JE, Kleinert HE. Reconstruction of the amputated finger tip with a triangular volar flap. A new surgical procedure. J Bone Joint Surg Am. 1970;52:921–6.
- Kutler W. A new method for finger tip amputation. JAMA. 1947;133:29–30.
- Gurdin M, Pangman WJ. The repair of surface defects of finger by transdigital flaps. Plast Reconstr Surg. 1950;5:368–71.
- Johnson RK, Iverson RE. Cross-finger pedicle flaps in the hand. J Bone Joint Surg Am. 1971;53:913–9.
- Littler JW. Neurovascular pedicle transfer of tissue in reconstructive surgery of the hand. J Bone Joint Surg Am. 1956;38:917.
- Venkataswami R, Subramanian N. Oblique triangular flap: A new method of repair for oblique amputations of the fingertip and thumb. Plats Reconstruct Surg. 1980;66:296–300.
- Lai CS, Lin SD, Yang CC. Reverse digital artery flap for fingertip reconstruction. Ann Plasts Surg. 1989;22:495–500.
- Neumeister MW, Robertson GA. The visor flap: Preservation of length in finger amputations. Can J Plast Surg. 1999;7:59.
- Yii NW, Elliot D. Dorsal V-Y advancement flaps in digital reconstruction. J Hand Surg Br. 1994;19:91–7.
- Matsuzaki H, Yoshizu T, Maki Y, Tsubokawa N. Functional and cosmetic results of fingertip replantation: Anastomosing only the digital artery. Ann Plast Surg. 2004;53:353–9.
- Moberg E. Aspects of sensation in reconstructive surgery of the upper extremity. J Bone Joint Surg Am. 1964;46:817–25.
- Small JO, Brennen MD. The first dorsal metacarpal artery neurovascular island flap. J Hand Surg Br. 1988;13:136–45.
- May JW, Jr, Chait LA, Cohen BE, O'Brien BM. Free neurovascular flap from the first web of the foot in hand reconstruction. J Hand Surg. 1977;2:387–93.
- Zook EG, Guy RJ, Russell RC. A study of nail bed injuries: Causes, treatment and prognosis. J Hand Surg Am. 1984;9:247–52.
Source: PubMed