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Cureus 2020 May 26;12(5):e8291. Epub 2020 May 26.

Plastic and Reconstructive Surgery, Northwestern University Feinberg School of Medicine, Chicago, USA.

The fingertip is defined as the part of the digit distal to the insertion of the extensor and flexor tendons on the distal phalanx. Devastating injuries to the hand occur every year that lead fingertip amputations in thousands of people. The highest incidence rates are usually seen in children less than five years old and in adults over the age of 65. Read More

J Hand Surg Asian Pac Vol 2020 Jun;25(2):199-205

Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore.

Fingertip amputation injuries are common hand injuries amongst all ages. If occurring as a result of workplace accidents, these injuries has the potential to lead to significant socioeconomic costs. Non-surgical techniques can treat these injuries with the potential to alleviate the burden of these socioeconomic costs. Read More

Orthop Traumatol Surg Res 2020 Apr 18;106(2):335-339. Epub 2020 Mar 18.

Institut Européen de la Main, Hôpital Kirchberg Medical Training Center, 9, rue Edward Steichen, 2540 Luxembourg, Luxembourg.

Introduction: The homodigital antegrade island flap pedicled on the proper palmar digital artery is very useful for covering fingertip defects. However, it has its drawbacks, such as the risk of stiffness due to retractile scars and the need for extensive dissection with long-lasting dysesthesia in some cases. In clinical studies, expanding the skin paddle with V-shaped incisions increases the flap's advancement. Read More

Hand (N Y) 2020 Mar 6:1558944720906556. Epub 2020 Mar 6.

Nuffield Orthopaedic Centre, Oxford, UK.

Congenital insensitivity to pain is a rare autosomal recessive condition characterized by insensitivity to painful stimuli due to absence of sensory and sympathetic post ganglionic neurons in the skin and skeletal system leading to lack of protective sensation and altered joint propioception. This study was performed to assess hand and wrist manifestations of patients with congenital insensitivity to pain in the Maltese Islands. Records of public and private hospitals were reviewed to identify patients suffering from this condition. Read More

Case Reports Plast Surg Hand Surg 2020 31;7(1):23-29. Epub 2020 Jan 31.

Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, Tokyo, Japan.

We present four cases of fingertip amputation treated with local flap where the avulsed fingertip skin could be effectively utilized for these donor sites. The avulsed finger skin may be utilized even when replantation is not possible. This approach may serve as a new treatment option after fingertip amputation. Read More

JBJS Essent Surg Tech 2019 Jul-Sep;9(3):e30. Epub 2019 Sep 11.

Department of Orthopaedic Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

Fingertip injuries are common and can be difficult to manage because of unique anatomical considerations. Optimal treatment minimizes residual pain while preserving the function, length, and sensation of the affected digit. Several types of fingertip injury, including sharp or crush injuries, partial or complete amputations, and those involving the nail plate or nail bed, can occur. Read More

Microsurgery 2020 02 27;40(2):282. Epub 2020 Jan 27.

Plastic Surgery Unit, Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

J Exp Zool B Mol Dev Evol 2020 Jan 17. Epub 2020 Jan 17.

Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, Texas.

Mammalian epimorphic regeneration is rare and digit tip regeneration in mice is the best-studied model for a multi-tissue regenerative event that involves blastema formation. Digit tip regeneration parallels human fingertip regeneration, thus understanding the details of this response can provide insight into developing strategies to expand the potential of human regeneration. Following amputation, the digit stump undergoes a strong histolytic response involving osteoclast-mediated bone degradation that is spatially and temporally linked to the expansion of blastema osteoprogenitor cells. Read More

Microsurgery 2020 May 11;40(4):447-451. Epub 2020 Jan 11.

Department of Orthopaedic Surgery, School of Medicine, Chung-Ang University, Seoul, South Korea.

Purpose: This study aimed to compare survival rates and risk factors of replantation failures using an interposition vein graft in fingertip amputations with segmental vessel defects with those using simple end-to-end anastomosis in amputations.

Patients And Methods: Between 2004 and 2015, 776 (647 males and 129 females) with single Zone I or II amputations of digits underwent replantation. Among these, simple end-to-end anastomosis was performed in 698 replantations, while interposition vein grafts were used for either arterial or venous repair or both in 78 amputated fingertips. Read More

Int J Surg Protoc 2019 23;16:1-4. Epub 2019 May 23.

Plastic Surgery Department, St Thomas' Hospital, Guy's and St Thomas' Hospital NHS Foundation Trust, Westminster Bridge Road, London SE1 7EH, United Kingdom.

Background: There is much debate in the hand surgery literature as to the management of fingertip amputations. Much research continues to be published in this area. Methods of reattachment include microsurgical and non-microsurgical (composite graft) replantation. Read More

J Hand Microsurg 2019 Dec 4;11(3):140-145. Epub 2019 Apr 4.

Konya Numuna Hospital, Plastic Reconstructive and Aesthetic Surgery Clinic, Konya, Turkey.

The aim of this study was to determine usability of the reverse dorsal terminal vein flap (hat flap) in the reconstruction of Tamai zone 1 defects. A total of 31 patients with fingertip amputation in Tamai zone 1 defect in the finger operated upon between 2014 and 2016 were included in this study. Flaps were designed from the proximal end of the nail bed to the middle phalanx according to the defect size. Read More

Hand Clin 2020 Feb;36(1):19-32

Section of Plastic Surgery, The University of Michigan Medical School, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, MI, USA.

The VY advancement, thenar flaps, and cross-finger flaps are workhorse flaps used in reconstruction of fingertip defects. They are reliable and simple to raise without need for microvascular dissection. In addition, they usually provide good results in terms of sensibility and range of motion. Read More

Hand Surg Rehabil 2020 Feb 15;39(1):59-64. Epub 2019 Nov 15.

Hand, upper limb and peripheral nerve service, Department of orthopedic surgery, Teaching European Hospital Georges Pompidou, Paris Descartes University, Sorbonne Paris Cité université, AP-HP, 20, rue Leblanc, 75908 Paris cedex 15, France.

When bone is exposed, fingertip defects may require a flap procedure. Many types are available, with little consensus about which one is best. But each one has its own disadvantages: esthetic (claw nail deformity), neurological (sensory disorders) or functional (stiffness). Read More

J Cardiol Cases 2019 Nov 18;20(5):155-157. Epub 2019 Aug 18.

Hyogo Prefectural Awaji Medical Center, Cardiovascular Medicine, 1-1-137 Shioya, Sumoto, Hyogo 656-0021, Japan.

A 58-year-old woman with pallor on her left hand due to chronic hemodialysis presented with a recent intractable skin ulcer on her left 3rd finger; the skin perfusion pressure (SPP) was 19 mmHg. Preoperative angiography revealed an occluded proximal left radial artery, no communication between the ulnar and superficial palmar arteries, several collaterals from the left ulnar to the radial artery, and no visualization of the finger arteries. Successful endovascular therapy to the occluded radial artery increased flow to the arteriovenous fistula (AVF), but not to the fingertips. Read More

J Invest Surg 2019 Oct 7:1-7. Epub 2019 Oct 7.

Dipartimento di Ricerca Traslazionale e Delle Nuove Tecnologie in Medicina e Chirurgia, Università Degli Studi di Pisa , Pisa , Italy.

Thumb reconstruction has always been challenging for hand surgeons. The disability can severely influence the working and social life of the patient, even if just the distal phalanx is affected. Revascularization is the best surgical option for incomplete distal amputation, although microsurgical reconstruction, sometimes, could be not feasible. Read More

Ann Plast Surg 2020 02;84(2):e1-e6

Department of Plastic Surgery, Konur Hospital, Bursa, Turkey.

Introduction: In reconstruction of digital amputations of the upper extremity, composite tissue alternatives with similar features are limited for finger tip reconstruction. Among these alternatives, free perforator flaps elevated from the hypothenar region (HFPFs) are defined, but reluctancy goes on for utilization of these flaps.In this study, we aimed to highlight the sensory results of HFPFs when a neural repair is incorporated to the flap and also to justify their usage by presenting functional and aesthetic outcomes of the reconstructions performed with HFPFs. Read More

Ann Plast Surg 2019 12;83(6):647-649

Background: In our previous study, we used cross finger fascial flap combined with split-thickness toe nail bed graft to reconstruct large area defect of the nail bed with distal phalanx exposure. Fingertip avulsions are common injuries to the upper extremity and cause a great deal of distress for patients. Replantation, amputation and flap coverage are considered. Read More

J Plast Reconstr Aesthet Surg 2020 Jan 7;73(1):65-71. Epub 2019 Aug 7.

Department of Orthopaedic Surgery, Catholic-Kwandong University, 25, Simgok-Ro 100gil, Seo Gu, 22711 Incheon, Republic of Korea. Electronic address:

The thenar flap is a well-described technique, but reports about its use in patients with multiple fingertip injuries are limited. This study aims to introduce a surgical technique of using an extended thenar flap for two adjacent fingertip amputations and to evaluate the clinical outcomes and related complications. From October 2013 to October 2016, 12 patients (24 fingers) underwent soft tissue reconstruction of two adjacent fingers with an extended thenar flap. Read More

J Hand Surg Eur Vol 2019 12 31;44(10):1101-1102. Epub 2019 Aug 31.

Department of Hand Surgery, Nara Medical University, Nara, Japan.

J Hand Surg Am 2020 Mar 14;45(3):256.e1-256.e6. Epub 2019 Aug 14.

Emot Hospital, İzmir, Gaziantep, Turkey.

Purpose: If there are no veins available in a distal amputation, an artery-only replantation is performed, and an external bleeding method is commonly used. We conducted a survival analysis in a large series of artery-only replantations and compared 2 different external bleeding methods in artery-only distal replantations: nail matrix or hyponychial area bleeding and pulp skin area bleeding, which we have called the crater method.

Methods: Two hundred twenty-eight artery-only distal finger replantations in 199 patients were included in the study. Read More

J Hand Surg Eur Vol 2019 Dec 9;44(10):1008-1012. Epub 2019 Aug 9.

Department of Hand and Reconstructive Microsurgery, National University Health System, Singapore.

We investigated the maximal advancement of the homodigital neurovascular island flap with the digit in full extension and its correlation to the digital length. In 32 adult cadaveric digits, flaps measuring 1 × 1 cm were sequentially elevated to different dissection points. Dissection of the flap to the proximal interphalangeal joint crease, palmo-digital crease, division of adjacent digital artery and the superficial arch resulted in flap advancement of 8, 12, 15 and 18 mm, respectively. Read More

Case Reports Plast Surg Hand Surg 2019 22;6(1):74-78. Epub 2019 Jun 22.

Department of Plastic Surgery, Kobe University Graduate School of Medicine, Kobe, Hyogo, Japan.

A reverse vascular pedicle digital island flap is a useful treatment option for reconstruction in fingertip amputation. We describe a surgical procedure to preserve the dorsal branch of the digital nerve in the middle phalanx during elevation of this flap with favourable outcomes. Read More

Microsurgery 2019 09 3;39(6):575. Epub 2019 Jul 3.

Division of Plastic and Reconstructive Surgery, Santa Maria alle Scotte Hospital, University of Siena, Italy.

Hand Surg Rehabil 2019 09 8;38(4):257-261. Epub 2019 Jun 8.

Service d'orthopédie, de traumatologie, de chirurgie plastique, reconstructrice et assistance main, CHRU de Besançon, CHI Vesoul & CIC IT, 808, boulevard Fleming, 25033 Besançon, France; EA Nano médecine, université de Franche Comté, 1, rue Claude-Goudimel, 25000 Besançon, France. Electronic address:

The aim of this study was to analyze a series of patients who suffered a distal finger amputation and who were treated with occlusive dressings. A retrospective study was done of 19 patients from a single hospital. At the review, an independent examiner evaluated the time required for wound healing, the number of occlusive dressings used, fingertip trophic skin changes, epicritic sensitivity using the Weber two-point discrimination (2PD) test, sensitivity based on the monofilament test, complications, the presence of dysesthesia or cold intolerance, and the QuickDASH score. Read More

Arch Orthop Trauma Surg 2019 Aug 21;139(8):1171-1178. Epub 2019 May 21.

Department for Plastic, Hand and Reconstructive Surgery, Hand Trauma Center, BG-Trauma Center Frankfurt am Main, Academic Hospital of the Johann Wolfgang Goethe-University Frankfurt Am Main, Friedberger Landstrasse 430, 60389, Frankfurt am Main, Germany.

Introduction: Fingertip injuries are frequent and several surgical strategies exist to reconstruct the amputated part and restore function and appearance. Yet, long-term results are rarely published. The purpose of this study was to examine the long-term clinical outcome of neurovascular island flaps for traumatic fingertip amputation of Allen type III/IV injuries. Read More

Clin Plast Surg 2019 Jul 16;46(3):275-283. Epub 2019 Apr 16.

Department of Hand and Reconstructive Microsurgery, National University Hospital, 1E Kent Ridge Road, Singapore 119228, Singapore. Electronic address:

The fingertip is mankind's tactile interface with the physical world, from reading braille, to using touchscreens, to wielding power tools. Its special tissue architecture demands astute evaluation and meticulous surgical or nonsurgical care after injury to return patients to their preinjury level of function. Attentive deliberation of physiologic, vocational, and psychosocial factors could improve the odds of achieving satisfactory results. Read More

J Hand Surg Am 2019 Aug 10;44(8):655-661. Epub 2019 May 10.

Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Purpose: The surgical treatment of fingertip amputations is controversial. This study was designed to compare the clinical results of 2 surgical procedures for fingertip amputation: reconstruction with a digital artery flap and microsurgical replantation.

Methods: Between 2003 and 2015, 37 patients with Tamai zone 1 fingertip amputation of the index or middle finger were treated by reconstruction with a digital artery flap (n = 23) or microsurgical replantation (n = 14). Read More

J Hand Surg Asian Pac Vol 2019 Jun;24(2):219-223

1 Consultant Hand and Wrist Surgeon, Jehangir Hospital, Pune, India.

The preferable reconstructive surgical options for Allen type IV finger amputation is replantation. The viable alternate option is bone and nail bed graft repositioning on local flaps. The wider scope of this "graft reposition on flap" (GRF) technique was introspected. Read More

Acta Dermatovenerol Croat 2019 Mar;27(1):51-52

Assist. Prof. Krešimir Bulić, MD, PhD, University Hospital Centre Zagreb, Department of Plastic Surgery, Kišpatićeva 12 , 10 000 Zagreb, Croatia;

Dear Editor, The main challenge in the treatment of subungual melanoma in situ is obtaining adequate oncological resection while preserving the aesthetics and functionality of the affected digit (1). Traditionally, subungual melanoma in situ was treated with amputation of the distal phalanx of the digit, but management has recently become more conservative, attempting to preserve the full length of the digit (1). Although many recent studies support more conservative treatment by demonstrating successful results of the digit salvaging approach for both in situ and invasive subungual melanoma (1-3), there is still no agreed consensus in terms of the optimal surgical approach for this condition (1). Read More

Hand Clin 2019 05;35(2):179-184

Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, The University of Tokyo, 1-3-7, Hongo, Bunkyo-ku, Tokyo 113-0011, Japan.

The authors describe 3 cases with successful fingertip replantations using supermicrosurgical arteriole (terminal branch of digital artery) anastomoses, arteriole graft obtained from the same fingertip defect, reverse arteriole flow to subdermal venule, and delayed venular drainage for venous congestion. Among these 16 consecutive distal phalangeal replantations, 7 fingers showed postoperative venous congestion (43.8% of the total fingers) and 5 were reoperated on with delayed venous drainage under digital block. Read More

J Orthop Surg (Hong Kong) 2019 Jan-Apr;27(1):2309499019831480

4 Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Pusan, South Korea.

Purpose: Fingertip replantation is a challenging and technically demanding procedure. A variety of venous drainage techniques have been attempted for successful fingertip replantation. We present a new venous drainage technique, known as serial multifocal incision for fingertip replantation. Read More

J Hand Surg Eur Vol 2019 03;44(3):328-329

Department of Burns and Plastic Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK.

J Am Acad Dermatol 2019 Jan 22. Epub 2019 Jan 22.

Hopitaux Universitaires de Genève, 4 rue Gabrielle-Perret-Gentil, 1205 Geneva, Suisse.

Patient consent for publication available upon request. Ethics review board not required. Read More

Hand Surg Rehabil 2019 04 19;38(2):108-113. Epub 2019 Jan 19.

Centre de la Main, Angers assistance Main, Village Santé Angers Loire, 47, rue de la Foucaudière, 49800 Trélazé, France; CHU Tahar Sfar, avenue Tahar Sfar, 5100 Mahdia, Tunisia.

Severe contracture of the little finger due to Dupuytren's disease continues to be a therapeutic problem. Fifth finger amputation, which is sometimes the only solution, has a major negative impact on function and appearance, and exposes the patient to adjacent digital hook aggravation. Middle phalangectomy with finger shortening fusion is an alternative surgical solution. Read More

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 12;32(12):1545-1548

Department of Hand Surgery, Repair and Reconstruction Surgery, the Second Hospital of Tangshan (the Affiliated Hospital of North China Polytechnic University), Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of Ilizarov technique in reconstruction of thumb function in patients with thumb degloving injury after amputation.

Methods: Between June 2011 and September 2016, 9 cases of thumb degloving injury were treated with amputation and Ilizarov technology. There were 8 males and 1 female with an age of 18-52 years (mean, 34. Read More

Microsurgery 2019 Mar 17;39(3):221-227. Epub 2018 Dec 17.

Department of Translational Research and New Technologies in Medicine and Surgery, University of Pisa, Pisa, Italy.

Background: Homodigital adipofascial flap is a well-established method for treating a distal fingertip defect; nonetheless, its use has some limitations. Reconstruction of fingertip injuries, with radial or ulnar tissue loss, may lead to some difficulties in providing an adequate bone coverage. The standard bipedicled technique did not allow the flap to cover the bone exposure without excessive tension. Read More

J Hand Microsurg 2018 Dec 20;10(3):155-157. Epub 2018 Mar 20.

Clinic of Plastic Surgery, Department of Neuroscience, Padua University Hospital, University of Padua, Padua, Italy.

Thumb tip injuries are very common in hand trauma, and several flaps are available to restore the defect. One of them is the Hueston flap. It is very simple and quick to harvest, but it could lead to donor site problems. Read More

Acta Ortop Bras 2018 ;26(5):294-299

Department of Hand Surgery Residency, Hospital Alvorada, São Paulo, SP, Brazil.

Objective: To verify if there is consensus about the treatment of each type of injury or amputation of the fingertips, and if there is a statistical difference among the treatment options according to the surgeon's length of time in the hand surgery specialty.

Methods: A cross-sectional survey was conducted during the 37th Brazilian Congress of Hand Surgery, when one hundred and twenty questionnaires were randomly distributed. Observing the inclusion and exclusion criteria, ninety completed questionnaires were included. Read More

GMS Interdiscip Plast Reconstr Surg DGPW 2018 19;7:Doc05. Epub 2018 Oct 19.

Pediatric Surgery, Faculty of Medicine Carl Gustav Carus, TU Dresden, Dresden, Germany.

Human fingertips are able to regenerate soft tissue and skin after amputation injuries with excellent cosmetic and functional results when treated with semiocclusive dressings. Despite bacterial colonizations, proceeding infections are not reported with this management. The underlying mechanisms for this form of regenerative healing as well as for the resilience to infections are not known. Read More

Can Fam Physician 2018 11;64(11):803-810

Pediatric plastic surgeon at the Children's Hospital of Eastern Ontario in Ottawa.

Objective: To present a practical and evidence-based approach for primary care physicians to the diagnosis and initial management of common pediatric hand injuries, and to identify injuries requiring prompt referral.

Sources Of Information: Clinical evidence and expert recommendations were identified by using MEDLINE and EMBASE for each topic presented.

Main Message: Pediatric hand injuries are a common reason for physician consultation. Read More

Ulus Travma Acil Cerrahi Derg 2018 Sep;24(5):462-467

Department of Plastic, Reconstructive and Aesthetic Surgery, Private Practice, İzmir-Turkey.

Background: Replantation is the gold standard procedure for traumatic amputation of fingertips. Reposition flap procedure is performed using nail-bone complex as a free graft and covering graft site with a flap to preserve original finger length, nail complex, and sensory functions of fingertip in pateints where microsurgical methods cannot be applied. In our study, we aimed to compare the long-term outcomes of patients with amputated fingertips who underwent replantation or reposition flap procedures. Read More

JPRAS Open 2019 Mar 26;19:1-5. Epub 2018 Oct 26.

Department of Orthopedic Surgery, Kindai University Hospital. 377-2 Oono-higashi, Osaka-sayama, Osaka 589-8511, Japan.

Hand surgeons often encounter painful posttraumatic neuromas in daily practice and the treatment of these neuromas is still challenging for them, because of the tendency of recurrence. The patient injured his left middle finger and was treated by amputation in a previous hospital. After this operation, the patient started to feel pain at the fingertip and complained of severe electric radiating pain when the radial and ulnar ends of the finger were touched. Read More

Plast Reconstr Surg Glob Open 2018 Jun 19;6(6):e1843. Epub 2018 Jun 19.

The Plastic Surgery Department, Guy's and St Thomas Hospital, London, United Kingdom.

Background: Fingertip amputations are common. This study reports on the outcomes of composite grafts used for fingertip amputations in children, measuring graft take, predictors of graft take, complications, and patient-reported outcomes.

Methods: A retrospective case series of consecutive patients (≤ 16 years) undergoing composite grafts for fingertip amputations in a tertiary pediatric hospital, January 06 to December 16, was performed. Read More

J Hand Surg Eur Vol 2018 Dec 3;43(10):1030-1035. Epub 2018 Sep 3.

Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.

The composite graft is the only surgical method that is able to maintain digital length and provide soft tissue coverage without donor site morbidities in microsurgically non-replantable fingertip amputations. This study aimed to explore the risk factors that determine the survival of composite grafts. Clinical characteristics associated with graft survival were retrospectively analysed by a comparison between the graft survival and failure groups. Read More

Emerg Nurse 2018 Sep 24;26(3):17-20. Epub 2018 Aug 24.

Imperial College, Emergency/Urgent Care Centre, London, England.

Fingertip injuries in children are a common presentation in emergency settings. These injuries result from a variety of mechanisms with most occurring at home by crushing fingers in a door and are distressing for the child and parent or carer. It is essential that emergency clinicians respond competently and confidently. Read More

Hand (N Y) 2020 Mar 30;15(2):208-214. Epub 2018 Jul 30.

Brown University, Providence, RI, USA.

The objective of this study was to determine the comparative cost-effectiveness of performing initial revision finger amputation in the emergency department (ED) versus in the operating room (OR) accounting for need for unplanned secondary revision in the OR. We retrospectively examined patients presenting to the ED with traumatic finger and thumb amputations from January 2010 to December 2015. Only those treated with primarily revision amputation were included. Read More

J Int Med Res 2018 Sep 19;46(9):3717-3723. Epub 2018 Jun 19.

Department of Orthopaedics, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Objectives Fingertip amputation is often encountered in emergency departments, especially in hospitals located near industrial areas. Replantation of the fingertip can be considered when the normal architecture is preserved in cases of sharp amputation. The goal of replantation is to preserve cosmesis and function, especially for the thumb because of its involvement in grasping and the key pinch. Read More

Int Wound J 2018 Aug 21;15(4):673-674. Epub 2018 May 21.

St Andrew's Center for Plastic and Reconstructive Surgery, Broomfield Hospital, Essex, UK.

Hand (N Y) 2018 07 27;13(4):NP14-NP16. Epub 2018 Apr 27.

2 University of Rochester Medical Center, NY, USA.

Background: Pediatric digital necrosis resulting in revision amputation is a devastating outcome following digital dressing application.

Methods: We report a series of 4 pediatric patients (age: 21 months-11 years) who presented for surgical consultation related to digital ischemia and irreversible necrosis following the application of Coban digital dressings. A review of the literature demonstrated that such injuries had not previously been described. Read More

Plast Reconstr Surg 2018 07;142(1):136-147

Rome, Italy From the Department of Plastic and Reconstructive Surgery, Sapienza University; the Institute of Anatomy and Cell Biology, Università Cattolica del Sacro Cuore; Fondazione Policlinico Universitario 'Agostino Gemelli', Rome, Italy.

Background: Although fingertip injuries account for a high proportion of trauma patients, the correct surgical approach is still debated. The authors compared the traditional conservative approach and a new treatment based on the injection of liposuction aspirate fluid.

Methods: Forty consecutive patients with a fingertip injury were dichotomized into group A (control group; conservative approach) and group B (treatment group). Read More