scholarly journals Fingertip Injury and Management

2019 ◽  
Vol 9 (3) ◽  
pp. e30 ◽  
Author(s):  
Nicholas S. Golinvaux ◽  
Jed I. Maslow ◽  
James P. Hovis ◽  
Donald H. Lee
Keyword(s):  
2019 ◽  
Vol 1 (2) ◽  
pp. 14-22 ◽  
Author(s):  
Wu, Tsung-Hsuan ◽  
Giampietro Bertasi

Matrices or tissue scaffolds provide a collagen structure for tissue remodelling while the removal of viable cells aims to minimize or prevent inflammatory or immunogenic response. Allograft collagen scaffold can support the patient’s own cellular ingrowth, ingeneered to minimize an immune response and to yeld a bio-compatible matrix and support incoming cellular growth. The decellyularized dermis retains its growth factors, native collagen scaffold, and elastin, thanks to a LifeNet Health proprietaryprocessin technology.


2013 ◽  
Vol 17 (3) ◽  
pp. 518-525
Author(s):  
Jalal Fattah ◽  
Rasul Awla

Author(s):  
Yazan Y. Alshawkani ◽  
Noah J. Orfield ◽  
Linsen T. Samuel ◽  
Damon R. Kuehl ◽  
Hugh J. Hagan ◽  
...  

2016 ◽  
Vol 20 (4) ◽  
pp. 133-136 ◽  
Author(s):  
Luis C. Díaz ◽  
Enrique Vergara-Amador ◽  
Lina M. Fuentes Losada
Keyword(s):  

2007 ◽  
Vol 12 (3) ◽  
pp. 83-88
Author(s):  
Piyush Durani ◽  
Anoushka Winton ◽  
Nicole Glassey ◽  
Stuart Mckirdy

The aim of this study was to determine the subjective morbidity caused by open fingertip injury. We conducted a retrospective case review of patients treated for open finger-tip injuries between May 2003 and August 2004. Patients completed a DASH questionnaire and a pro-forma was used to assess their symptoms related to cold exposure, functional deficits and impact on activities of daily living. Various objective measures of function and sensory function were also undertaken. Out of 31 patients, 14 responded. Average follow-up time post-injury was 20 months. Injuries were classified as ‘crush’ (79%) or ‘incisional’ (21%). Numbness and tingling was the most frequently experienced symptom (11/14, 79%) and 50% experienced pain and discomfort on a regular basis. ‘Cold-intolerance’ was reported by 12/14 patients (86%) and most found this troublesome, with a mean severity score of 6.8 (out of 10). Some individuals had specific problems with activities of daily living; however mean DASH score was only 6.5%. In this small sample, patients continued to experience symptoms long-term after treatment of open fingertip injury, particularly ‘cold intolerance’ or ‘Trauma-Induced Cold Associated Symptoms’ (TICAS).


2014 ◽  
Vol 40 (9) ◽  
pp. 944-951 ◽  
Author(s):  
S. H. Lee ◽  
J. H. Jang ◽  
J. I. Kim ◽  
S. J. Cheon

Soft tissue reconstruction is needed to maintain the maximum length of the fingers in fingertip injury. The purpose of this study was to present an anterograde pedicle advancement flap technique, for the treatment of fingertip injuries, which involved a modification to the anterograde advancement flap by the dissection of the digital nerve and artery with a pedicle to advance the flap. This technique was used in 12 fingers in patients who had undergone soft tissue reconstruction of fingertip injuries between January 2012 and October 2013. The sizes of the flaps ranged from 8 × 7 mm to 14 × 10 mm. The mean length of advancement was 9.7 mm (range 7–13). The mean value of the static two-point discrimination test of the healed flaps was 5.1 mm (range 4–6) and the flaps survived in all the 12 cases. The modified anterograde pedicle advancement flap provides a reliable coverage of sensate soft tissue without bone shortening in fingertip injuries. Level II


Author(s):  
Kyung Jin Lee ◽  
Ilou Park ◽  
Si Young Roh ◽  
Sung Hoon Koh ◽  
Jin Soo Kim ◽  
...  

Fingertip injury is one of the most common hand injuries. Although several types of advancement and cross-finger flaps exist, they would not be essential for nail bed defects. The authors present a simultaneous volar pulp and nail bed reconstructive technique that uses a second toe onychocutaneous free flap. Four patients without amputees underwent fingertip amputation reconstruction between 2011 and 2019. After thorough debridement, the defect size was estimated, and the digital arteries, nerves, and veins of the recipient were evaluated. The flap, composed of pulp tissue and nail bed, was harvested with continuity from the second toe. Additional split-thickness skin grafts were performed in two cases. All flaps survived without considerable complications. We evaluated the scar and contour, and nail growth was reported over Zook’s criteria grade B. The second toe onychocutaneous free flap provides a reliable option for fingertip defects that involve pulp tissue and nail bed without further amputation.


Hand ◽  
2021 ◽  
pp. 155894472110604
Author(s):  
Kamilcan Oflazoglu ◽  
Elfi M. Verheul ◽  
Taylor M. Pong ◽  
Marco J. F. P. Ritt ◽  
Hinne Rakhorst ◽  
...  

Background: The aim was to determine the threshold Quick Disabilities of the Arm, Shoulder, and Hand (QuickDASH) score that estimates a diagnosis of major depression in patients with fingertip injuries in American and Dutch patients. Methods: In this observational cross-sectional study, 112 patients with a recent fingertip injury measured symptoms of depression with the Patient Health Questionnaire and upper extremity disability with the QuickDASH. Results: In the US cohort, 8 of 56 patients had an estimated diagnosis of major depression. A threshold value of QuickDASH of 50 showed a sensitivity of 88% and a specificity of 81%, with a negative predicting value (NPV) of 95% for an estimated diagnosis of major depression. In the Dutch cohort, 7 of 56 patients had an estimated diagnosis of major depression. The same threshold score of 50 had a sensitivity of 71%, a specificity of 63%, and an NPV of 94%. Conclusions: We have found a correlation between experienced loss of function and an estimated diagnosis of major depression in patients with a fingertip injury. Referral to the primary care physician for further evaluation of depression in these patients is advised.


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