Management of partial fingertip amputation in adults: Operative and non operative treatment

Sindhu, Kunal K.; DeFroda, Steven F.; Harris, Andrew P.; Gil, Joseph A.

doi:10.1016/j.injury.2017.10.042

Cited by 31 publications

(35 citation statements)

References 56 publications

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“…Crush injuries can present as open or closed, and they can occur when compressive forces damage the fingertip. 15 While injuries to the pulp and bone may occur, they are generally self-limited and not associated with significant sequelae . 15 , 16 However, a traumatized finger may eventually undergo necrosis if it is exposed to a subzero environment.…”

Section: Discussionmentioning

confidence: 99%

“… 15 While injuries to the pulp and bone may occur, they are generally self-limited and not associated with significant sequelae . 15 , 16 However, a traumatized finger may eventually undergo necrosis if it is exposed to a subzero environment. In the present case, the crush injury potentiated frostbite, even though the cold exposure time was relatively small.…”

Section: Discussionmentioning

confidence: 99%

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Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case

Alammar

Jamal

2020

Clinics and Practice

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A cold injury can result in devastating outcomes, leading to significant morbidity and loss of distal extremities. Amputations are common after severe frostbite injuries with delayed presentation, often mediated by post-injury arterial thrombosis. Ischemic injuries are managed according to the ischemia time. The most controversial aspect of treating a salvage injury is the time of surgical intervention, which used to be based on the previous management dogma freeze in January, amputate in July. Recently, the paradigm has shifted to early surgical management if the level of viability of the deep structure can be ascertained using 99mTc pertechnetate scintigraphy (99mTc bone scans). We present a case of a finger amputation resulting from a cold injury secondary to a crush injury.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case

Alammar

Jamal

2020

Clinics and Practice

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“…Conservative management of fingertip amputations is popular in the United States and European countries. 5,6 However, operative management is preferred over conservative in Asian countries. 5,7 In Japan, replantation and reconstruction are the major strategies for fingertip amputations; 8-10 however, conservative management using moist wound dressings has become more common in recent years.…”

Section: Discussionmentioning

confidence: 99%

Fingertip amputation injury managed conservatively with moist wound dressings

Masaki

Kimura

2020

Preprint

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“…4,5 Options for treatment include healing by secondary intention; skin grafting; local flaps such as a V-Y plasty; distal flaps such as homodigital flaps, microsurgical reconstruction with pulp transplants, and replantation. [6][7][8][9] Treatment of Fingertip Injuries among Surgeons Ng et al…”

Section: Introductionmentioning

confidence: 99%

Management of Fingertip Injuries: A Survey of Opinions of Surgeons Worldwide

Jing

Rajaratnam

2022

Journal of Hand and Microsurgery

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Introduction Fingertip injuries are common injuries in all ages. There is currently no consensus nor evidence to support the use of any one treatment, with numerous options available for management. The aim is to review the consensus for treatment of fingertip injuries among surgeons worldwide. Materials and Methods Nonprobability judgment sampling using purposive method was performed on surgeons (n = 65) using two digital platforms of the community of practice of hand surgeons. Three illustrative case scenarios were presented to the participants to understand their consensus on treating fingertip injuries, and their choice of treatment for themselves with a similar injury. Results This survey demonstrates that there is a wide range of treatment preferences for fingertip injuries for each clinical scenario. In Allen 1 and in crush injuries, most respondents favored healing by secondary intention (66.2 and 92.3%, respectively). In Allen 3 injuries, 72.3% favored surgical intervention. In all clinical scenarios, most surgeons would want their own fingertip injuries treated identically to how they would treat patients with similar fingertip injuries (93.9, 96.9, and 95.4%, respectively). Furthermore, our study demonstrated experience in surgery was not associated with treatment preferences. Conclusion Management of fingertip injuries remains controversial, but this study is suggestive that treatment preferences may not be determinant on patient factors, given that all of our respondents are highly functioning individuals who practice microsurgery, but most chose to administer the same treatment to patients as they would to themselves.

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Management of partial fingertip amputation in adults: Operative and non operative treatment

Cited by 31 publications

References 56 publications

Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case

Self-Inflicted Finger Cold Injury Leading to Amputation: Report of a Case

Fingertip amputation injury managed conservatively with moist wound dressings

Management of Fingertip Injuries: A Survey of Opinions of Surgeons Worldwide

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