Treatment of Fingertip Injuries.

Autor: Neustein TM; Department of Orthopaedic Surgery, Emory University School of Medicine, Atlanta, Georgia., Payne SH Jr; Georgia Hand, Shoulder, and Elbow, Atlanta, Georgia., Seiler JG 3rd; Georgia Hand, Shoulder, and Elbow, Atlanta, Georgia.
Jazyk: angličtina
Zdroj: JBJS reviews [JBJS Rev] 2020 Apr; Vol. 8 (4), pp. e0182.
DOI: 10.2106/JBJS.RVW.19.00182
Abstrakt: 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 rehabilitation. Reviewing current fingertip soft-tissue coverage procedures and demonstrating key anatomic and technical points with cadaveric dissections provides a foundation for the incorporation of these techniques into practice.
Databáze: MEDLINE