2020
DOI: 10.2106/jbjs.rvw.19.00182
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Treatment of Fingertip Injuries

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 rehabil… Show more

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Cited by 16 publications
(13 citation statements)
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“…Allen type III and four amputations can be treated with secondary healing, but there is a strong likelihood that nail deformity would develop. [ 2 , 14 , 18 , 19 ] Upon the patient request or due to other conditions (e.g., severely contaminated injury, economic reasons), bone shortening and stump closure may be selected. Stump closure provides short operation time and early recovery, but results in more shortness.…”
Section: Discussionmentioning
confidence: 99%
“…Allen type III and four amputations can be treated with secondary healing, but there is a strong likelihood that nail deformity would develop. [ 2 , 14 , 18 , 19 ] Upon the patient request or due to other conditions (e.g., severely contaminated injury, economic reasons), bone shortening and stump closure may be selected. Stump closure provides short operation time and early recovery, but results in more shortness.…”
Section: Discussionmentioning
confidence: 99%
“…For example, the reference values generated here could aid diagnoses by establishing whether an individual’s finger tapering falls within or outside of the bounds of normal variation. Moreover, the general approach and norms described here may also serve as a reference for reconstructive hand surgery [ 8 , 9 ], aid in forensic investigations [ 10 , 11 ], and inform design and ergonomic applications [ 12 , 13 ]. For example, sex determination from the hand and digits can help with the identification of partial remains.…”
Section: Discussionmentioning
confidence: 99%
“…The dorsoradial artery, with an average diameter of 0.4 mm, arises from the radial artery at the level of the anatomical snuffbox and passes on the palmar aspect of the extensor pollicis brevis tendon. 2 4 5 7 It travels in the same plane as the dorsoulnar artery, on the radial side of the thumb, adjacent to a superficial radial nerve branch, running at an approximate 1-cm average distance from the medial axis. 4 This flap is thought to be drained by tiny venules contained in the perivascular fascia adipose tissue 8 rather than specific veins that follow the dorsoradial artery.…”
Section: Introductionmentioning
confidence: 99%