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Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Dec;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

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

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

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

Hand (N Y) 2018 Jul 30:1558944718790577. Epub 2018 Jul 30.

1 Brown University, Providence, RI, USA.

Background: 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.

Methods: 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

Hand (N Y) 2018 Jul 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

Injury 2018 Jun 27;49(6):1113-1118. Epub 2018 Mar 27.

Department of Hand Surgery, Wuxi N0.9 People's Hospital affiliated to Soochow University, Wuxi, China. Electronic address:

Purpose: The purpose of this study was to evaluate outcomes for patients sustaining a distal fingertip amputation who underwent replantation witharteriovenous anastomosis for venous drainage over a one year period at our institution. This technique has been utilized when insufficient veins are identified in the amputated part for standard veno-venous anastomosis.

Methods: A retrospective study was performed on patients presenting from 2013 to 2014. Read More

J Plast Reconstr Aesthet Surg 2018 Jul 22;71(7):997-1003. Epub 2018 Feb 22.

Department of Plastic and Reconstructive Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, 271 Cheonbo-ro, Uijeongbu-si, 480-717, Republic of Korea. Electronic address:

Background: The treatment of choice for fingertip amputation is replantation to restore function and aesthetics. The purpose of this study was to compare the success rates and salvage periods between patients with Tamai's zone I amputation injuries treated with bony fixation and suture fixation.

Methods: Fifty-five patients with Tamai's zone I amputations with bony involvement were included in this study. Read More

Stem Cells Transl Med 2018 Mar 5;7(3):262-270. Epub 2018 Feb 5.

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

Regeneration Biology is the study of organisms with endogenous regenerative abilities, whereas Regenerative Medicine focuses on engineering solutions for human injuries that do not regenerate. While the two fields are fundamentally different in their approach, there is an obvious interface involving mammalian regeneration models. The fingertip is the only part of the human limb that is regeneration-competent and the regenerating mouse digit tip has emerged as a model to study a clinically relevant regenerative response. Read More

Orthopedics 2018 Mar 29;41(2):e245-e251. Epub 2018 Jan 29.

High-pressure water injection injuries of the hand are uncommon, and there is limited literature to guide their treatment. The ideal management of these injuries, whether nonoperative with close observation or early surgical debridement, remains unknown. The authors retrospectively identified a cohort of patients with high-pressure water injection injuries to the hand during a 16-year period. Read More

J Hand Microsurg 2017 Dec 27;9(3):163-166. Epub 2017 Nov 27.

Curtis National Hand Center, MedStar Union Memorial Hospital, Baltimore, Maryland, Unites States.

Successful replantation of distal digital segments necessitates the establishment of sufficient outflow to minimize congestion and progressive tissue necrosis. In cases where only arterial anastomosis is feasible, an artificial outlet must be provided to maintain physiological requirements until microvenous circulation regenerates. This can be accomplished using any number of "exsanguination techniques" designed to facilitate egress through ongoing passive blood loss. Read More

Dev Biol 2018 01 25;433(2):190-199. Epub 2017 Dec 25.

Department of Veterinary Physiology and Pharmacology, Texas A&M University, College Station, TX 77843, United States. Electronic address:

Studying regeneration in animals where and when it occurs is inherently interesting and a challenging research topic within developmental biology. Historically, vertebrate regeneration has been investigated in animals that display enhanced regenerative abilities and we have learned much from studying organ regeneration in amphibians and fish. From an applied perspective, while regeneration biologists will undoubtedly continue to study poikilothermic animals (i. Read More

J Hand Surg Am 2017 Dec;42(12):1040.e1-1040.e7

Institute of Plastic and Reconstructive Surgery, New York University, New York, NY. Electronic address:

Fingertip amputation is the most common amputation encountered by hand surgeons. Treatment decisions are multifactorial, based on mechanism, level of injury, tissue loss, associated injuries, and patient preference, among others. In this article, we present use of the thenar flap in combination with bone graft and split-thickness nail bed graft to address the tripartite loss of distal phalanx, soft tissue, and nail bed. Read More

Injury 2017 Dec 31;48(12):2643-2649. Epub 2017 Oct 31.

Department of Orthopaedic Surgery, Brown University, Alpert Medical School of Brown University, 593 Eddy Street, Providence, RI 0290, United States.

Background: Hand and finger injuries account for approximately 4.8 million visits to emergency departments each year. These injuries can cause a great deal of distress for both patients and providers and are often initially encountered in urgent care clinics, community hospitals, and level one trauma centers. Read More

Arch Plast Surg 2018 Jan 27;45(1):58-61. Epub 2017 Oct 27.

Department of Plastic Surgery, Gwangmyeong Sungae General Hospital, Gwangmyeong, Korea.

Background: Venous anastomosis is an important component of digital replantation, but is not always feasible, as some cases require external bleeding to treat venous congestion in the replanted tissue. In the present study, we evaluated the relationship between the number of vein anastomoses and the survival rate of Tamai zone I replantations.

Methods: A retrospective review was performed of all patients who underwent replantation of a fingertip amputation between 2014 and 2016. Read More

Chin J Traumatol 2017 Dec 21;20(6):355-358. Epub 2017 Sep 21.

Maastricht University Medical Center, Department of Plastic and Reconstructive Surgery, P. Debyelaan 25, Maastricht 6229 HX, The Netherlands.

Innervated full thickness graft will be presented as an option to reconstruct a fingertip defect which might result in better sensibility than standard reconstruction using a full thickness graft without innervation. Also, anastomosing the nerve stumps can decrease the chance of developing neuroma. Read More

Medicine (Baltimore) 2017 Oct;96(41):e8224

aPediatric Surgery bCoordinating Centre for Clinical Trials Dresden cInstitute of Medical Microbiology and Hygiene, Carl Gustav Carus Medical Faculty, Technische Universität Dresden, Fetscherstrasse dFraunhofer Institute for Material and Beam Technology IWS Dresden eCarl Gustav Carus Medical Faculty, Technische Universität Dresden, Fetscherstrasse, Dresden, Germany fWrocław Medical University, Wybrzeże Ludwika Pasteura 1, Wrocław, Poland.

Introduction: Fingertip amputation injuries are common in all ages. Conservatively treated fingertips can regenerate skin and soft tissues to form a functionally and cosmetically excellent new fingertip. Little is known about this ability that, in humans, is confined to the fingertips. Read More

Eplasty 2017 8;17:e28. Epub 2017 Sep 8.

Division of Plastic and Reconstructive Surgery, Department of Surgery, University of Louisville, Louisville, Kentucky.

The goals of fingertip reconstruction are to achieve adequate soft-tissue coverage and a functional nail plate and to maintain sensation, proprioception, and cosmesis. We present a composite tissue graft and volar V-Y advancement flap for reconstruction of a traumatic amputation of a fingertip, which provided optimal preservation of the hyponychium and the volar pad for prevention of a hook nail. Historically, composite fingertip grafts have not been recommended for adults with large defects. Read More

Handchir Mikrochir Plast Chir 2017 Aug 14;49(3):162-168. Epub 2017 Aug 14.

 High-pressure injection injuries are devastating injuries that often lead to an amputation of the primarily affected finger. The available literature mainly focuses on amputation rates, while there is a lack of knowledge regarding functional results.  Between 1998 and 2016, 47 cases of high-pressure injection injuries of the hand were registered in our department. Read More

Case Reports Plast Surg Hand Surg 2017 10;4(1):65-67. Epub 2017 Jul 10.

Department of Hand Surgery, Nagoya University Graduate School of MedicineNagoyaJapan.

This study reports successful finger replantation in a patient with a dorsal oblique fingertip amputation. When repairing this unique type of injury, an evaluation of the remaining vessels is more useful for successful replantation than the anatomical zone classification. We propose that Kasai's classification is appropriate for guiding treatment. Read More

Ann Plast Surg 2017 Nov;79(5):473-476

From the *Department of Plastic Surgery, Cheng Ching General Hospital, Taichung, Taiwan; †Department of Plastic Surgery, Quiron Hospital, San Sebastian; ‡Department of Orthopaedic Surgery and Traumatology, Clínica Universidad de Navarra, Pamplona, Navarra, Spain; and §University of Toronto, Faculty of Medicine, Toronto, Ontario, Canada.

Background: Refinements in microsurgery have made distal finger replantation an established technique with high success rates and good functional and aesthetic outcomes. However, it still represents a technically demanding procedure due to the small vessel caliber and frequent lack of vessel length, requiring the use of interpositional venous grafts in some instances. We describe a new technique for anastomosis in fingertip replantation, whereby the need for venous grafts is eliminated. Read More

Hand (N Y) 2017 07 26;12(4):342-347. Epub 2016 Sep 26.

1 Boston Children's Hospital, MA, USA.

Background: Although fingertip injuries are common, there is limited literature on the epidemiology and hospital charges for fingertip injuries in children. This descriptive study reports the clinical features of and hospital charges for fingertip injuries in a large pediatric population treated at a tertiary medical center.

Methods: Our hospital database was queried using International Classification of Diseases, Revision 9 (ICD-9) codes, and medical records were reviewed. Read More

Ann Plast Surg 2017 Aug;79(2):166-173

From the *IST-EL Microsurgery and Rehabilitation Group; and †Department of Plastic and Reconstructive Surgery, Goztepe Training and Research Hospital, T.C. Medeniyet University, Istanbul, Turkey.

The number of venous anastomoses performed during fingertip replantation is one of the most important factors affecting the success of replantation. However, because vessel diameters decrease in the zone 1 level, vessel anastomoses, especially vein anastomoses, are technically difficult and, thus, cannot be performed in most cases. Alternative venous drainage methods are crucial when any reliable vein repair is not possible. Read More

Handchir Mikrochir Plast Chir 2017 Feb 19;49(1):29-36. Epub 2017 Apr 19.

Medizinische Fakultät, Klinik für Plastische und Handchirurgie, Universitätsklinikum Freiburg, Albert-Ludwigs-Universität Freiburg.

There are only relative indications for distal digital replantation in zones 1 and 2 according to Tamai. In contrast to primary closure for fingertip amputations, replantation is a complex procedure that requires skills in supermicrosurgical techniques, as vessels with diameters between 0.3-0. Read More

J Occup Rehabil 2018 Mar;28(1):158-169

Department of Rehabilitation Medicine, University Medical Center Groningen, University of Groningen, PO BOX 30001, 9700 RB, Groningen, The Netherlands.

Purpose To develop and pilot test a functional capacity evaluation (FCE) for individuals with upper limb absence (ULA) due to reduction deficiency or amputation, and to examine the relationship between FCE results and presence of musculoskeletal complaints (MSC). Method Five tests (overhead lifting, overhead working, repetitive reaching, fingertip dexterity, and handgrip strength) were selected and adapted if necessary. The newly developed FCE, called FCE-One-Handed (FCE-OH), was pilot tested in 20 adults individuals with ULA, and 20 matched controls. Read More

J Hand Surg Am 2017 May 30;42(5):396.e1-396.e5. Epub 2017 Mar 30.

New York Hand and Wrist Center of Lenox Hill, New York, NY.

Fingertip injuries are a common problem. There may be pulp loss and exposed bone. Various techniques have been described to reconstruct function as well as aesthetics; yet it is still unclear which treatment options should be chosen for each specific injury. Read More

Conf Proc IEEE Eng Med Biol Soc 2016 08;2016:1-4

Consistent, robust performance is critical for the utility and user-acceptance of neurally-controlled powered upper limb prostheses. We preliminarily evaluated the performance consistency of an electromyography (EMG)-driven controller based on a two degree-of-freedom musculoskeletal hand model, whose simplified structure is more practical for real-time prosthesis control than existing, complex models. Parameters of four virtual muscles were computed by numerical optimization from an able-bodied subject's kinematic and EMG data collected during wrist and metacarpophalangeal (MCP) flexion/extension movements. Read More

J Neural Eng 2017 06 21;14(3):036008. Epub 2017 Feb 21.

Objective: We investigated the feasibility of a novel, customizable, simplified EMG-driven musculoskeletal model for estimating coordinated hand and wrist motions during a real-time path tracing task.

Approach: A two-degree-of-freedom computational musculoskeletal model was implemented for real-time EMG-driven control of a stick figure hand displayed on a computer screen. After 5-10 minutes of undirected practice, subjects were given three attempts to trace 10 straight paths, one at a time, with the fingertip of the virtual hand. Read More

Indian J Plast Surg 2016 Sep-Dec;49(3):419-421

Hospital Sao Lucas, Pontifical Catholic University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil.

Traumatic finger amputations are common, causing significant functional and cosmetic deficits. Microsurgical replantation techniques are the mainstay of treatment for most such injuries although they require adequate conservation of the amputated segment for a successful result. In distal finger amputations, replantation is the procedure of choice, as long as the amputated fragment is viable. Read More

J Hand Surg Asian Pac Vol 2017 Mar;22(1):39-45

1 Department of Hand Surgery, Orthopaedics and Traumatology, United Christian Hospital, Hong Kong, China.

Background: Fingertip amputations can be debilitating and challenging to treat, due to the need for both function and cosmesis. We studied the functional outcomes of patients receiving an antegrade homodigital neurovascular island flap for fingertip amputations.

Methods: From 2004 to 2013, we performed 13 cases of antegrade homodigital neurovascular island flaps. Read More

Injury 2017 Feb 28;48(2):481-485. Epub 2016 Dec 28.

Department of Orthopaedic Surgery, School of Medicine, Chung-Ang University, Seoul, Republic of Korea. Electronic address:

Background: Although thenar flap for single fingertip amputation is a common and popular surgical technique, double thenar flap technique for patients with two fingertip amputations has rarely been reported in the literature. The purpose of this case-control study was to introduce the double thenar technique and compare the clinical outcomes between single thenar flap and double thenar flap surgical treatments.

Methods: From January 2005 to December 2014, 92 patients with single fingertip amputations were treated with thenar flap (Group I) and 28 patients with two fingertip amputations were treated with double thenar flap (Group II). Read More

J Plast Reconstr Aesthet Surg 2017 Feb 19;70(2):173-177. Epub 2016 Nov 19.

Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia; Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, Melbourne, VIC 3052, Australia. Electronic address:

Background: Fingertip injuries are amongst the most frequently seen hand injuries in the paediatric population. The present study evaluated the composite graft survival rate in distal digital amputations with respect to injury type, amputation level and time to surgery.

Methods: We performed a retrospective review of patients who underwent composite grafting of fingertip injuries over an 11-year period at a paediatric hospital. Read More

Ann Plast Surg 2017 Jun;78(6):692-696

From the Department of Orthopedic Surgery, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, PR China.

Background: Fingertip amputation in children is difficult to manage using microsurgical replantation techniques and many salvage procedures have failed owing to the nonavailability of suitable veins for anastomosis in the fingertip. This study reviewed our experience of pediatric fingertip replantation involving palmar venous anastomoses and evaluated the clinical outcomes.

Methods: From October 2008 to May 2013, 21 pediatric fingertips that had been completely amputated at or distal to the distal interphalangeal joint of the finger, or at or distal to the interphalangeal joint of the thumb were managed using complete replantation. Read More

J Hand Surg Am 2017 Feb 10;42(2):e119-e123. Epub 2016 Dec 10.

Division of Plastic Surgery, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.

The literature generally supports the safety of epinephrine injection in the digits, but recent case reports describe ischemic adverse events associated with the use of lidocaine and epinephrine in which phentolamine rescue was not performed. We present a case of finger necrosis and subsequent amputation in a patient after 1% lidocaine with 1:100,000 epinephrine was injected in the fat and flexor sheaths in the palm for a 3-finger trigger release. Phentolamine rescue was not performed. Read More

J Invest Surg 2017 Dec 30;30(6):353-358. Epub 2016 Nov 30.

b Division of Plastic and Reconstructive Surgery , Department of Medicine , Surgery and Neuroscience, University of Siena , Siena , Italy.

Aims Of The Study: Fingertip injuries can be treated in different ways, including shortening with primary closure, skin graft, and local or distant flaps. Several local flaps for the reconstruction of the amputated fingertip were described. We present our experience with a new concept of homodigital adipofascial reverse flap that avoids the second surgical stage and allows a complete and anatomically perfect reconstruction of nail bed, with preservation of the nail lamina. Read More

Plast Reconstr Surg Glob Open 2016 Oct 12;4(10):e1094. Epub 2016 Oct 12.

Department of Plastic Surgery, University of Pittsburgh, Pittsburgh, Pa.; Hausman Technology Presentations, Baltimore, Md.; Department of Bioengineering, University of Pittsburgh, Pittsburgh, Pa.; and McGowan Institute for Regenerative Medicine, University of Pittsburgh, Pittsburgh, Pa.

Decellularized scaffold materials are capable of regenerating missing tissues when utilized under appropriate conditions. Fat grafting also has reported advantages in revitalizing damaged tissue beds. This report details a case of traumatic fingertip amputation treated with a combination of decellularized materials in conjunction with fat grafting, resulting in a supple and functional reconstruction of the affected digit. Read More

Springerplus 2016 21;5(1):1835. Epub 2016 Oct 21.

Department of Hand and Foot Surgery, Subei People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou City, 225001 Jiangsu Province People's Republic of China.

Purpose: The purpose of this study was to report our experience of fingertip replantation without venous anastomosis using alternate method to counter post-operative venous congestion.

Methods: 30 Patients (18 men and 12 women) with 30 fingertip amputations (Tamai zone I) were treated with artery-only anastomosis fingertip replantation between March 2010 and July 2014. Postoperative venous outflow was maintained by allowing bleeding through wound gaps combined with topical (12500:250mlNS) and systemic (4000 IU SC once daily) heparin. Read More

Ned Tijdschr Geneeskd 2016;160:D192

Canisius-Wilhelmina Ziekenhuis, afd. Plastische Chirurgie, Nijmegen.

Infections of the hand can result in significant limitation of the function of the hand, and may even require partial amputation of a digit. A felon is an abscess of the distal pulp of the fingertip, which can spread rapidly through the flexor tendon sheath when not treated appropriately. Knowledge of the anatomy and the correct method of physical examination are essential when assessing a patient suspected of having a felon or flexor tendon sheath infection. Read More

Unfallchirurg 2017 Nov;120(11):961-968

Abteilung für Unfallchirurgie, AUVA Unfallkrankenhaus Lorenz Böhler - European Hand Trauma Center, Donaueschingenstr. 13, 1200, Wien, Österreich.

Background: Fingertip injuries are very common in emergency departments. According to the literature, Allen III and IV fingertip injuries should be treated with local skin flaps. Instead, we have treated these kinds of injuries in recent years with a semi-occlusive dressing. Read More

Plast Surg Nurs 2016 Jul-Sep;36(3):114-20

Matthew A. Sullivan, BA, is Medical Student, Northwestern University Feinberg School of Medicine, Chicago, IL. Charles J. Cogan, BA, is Medical Student, Northwestern University Feinberg School of Medicine, Chicago, IL. Joshua M. Adkinson, MD, is Assistant Professor of Surgery, Division of Plastic Surgery, Ann and Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine, Chicago, IL.

Pediatric hand injuries are extremely common. Although many hand injuries are adequately managed in the emergency department, some may need evaluation and treatment by a pediatric hand surgeon to ensure a good functional outcome. This article discusses the diagnosis and management of the most common pediatric hand maladies: fingertip injuries/amputation, tendon injuries, and phalangeal and metacarpal fractures. Read More

J Hand Surg Asian Pac Vol 2016 10;21(3):428-31

1 Department of Orthopaedic Surgery, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan.

The graft on flap method, a useful option for the restoration of fresh fingertip amputation, was applied to the reconstruction of the short fingertip stumps resulting from the initial amputated stump plasties. As a modification, a nail bed graft from the big toe and a small cubic iliac bone graft were substituted for the lost tissues normally reduced as a composite graft in fresh cases. Upon follow-up ranging from 1 to 8 years, the grafted bone was found to have been resorpted in all cases. Read More

J Reconstr Microsurg 2017 Jan 5;33(1):45-48. Epub 2016 Sep 5.

Department of Plastic and Reconstructive Surgery, College of Medicine, The Catholic University of Korea, Seoul, Korea.

 There are a few previous studies of the vascular anatomy of the fingertips. The aim of this study was to evaluate this anatomy and the distribution of fingertip arteries.  A total of 31 cadaveric hands were used for evaluation of the vascular pattern of the fingertips on X-ray images obtained using a radiopaque material. Read More

Indian J Orthop 2016 Jul-Aug;50(4):384-9

Department of Plastic, Reconstructive and Aesthetic Surgery, Hacettepe University, Faculty of Medicine, Ankara, Turkey.

Background: The fingertip is the most frequently injured and amputated segment of the hand. There are controversies about defining clear indications for microsurgical replantation. Many classification systems have been proposed to solve this problem. Read More

Tech Hand Up Extrem Surg 2016 Dec;20(4):133-136

*Asotrauma Clinic, Ibagué †Orthopedics and Traumatology Unit, Faculty of Medicine, National University of Colombia, Bogotá, Colombia.

The volar V-Y flap is used in transverse or dorsal oblique amputations in fingertip injuries; however, its use is contraindicated in patients with volar oblique amputations and cannot advance distally enough to cover the defect. The aim of this report is to describe a technique of double V-Y flap to cover fingertip defects in which a simple V-Y flap is not enough. This technique allows advancement between 30% and 50% farther than the original, simple V-Y flap. Read More

In Vivo 2016 Jul-Aug;30(4):501-5

Plastic Surgery Division, General and Specialist Surgery Department, University of Siena, Siena, Italy.

Background: Finger amputations are the most common injuries to the upper limb. There are many options in the management of fingertip or finger amputations. We report our experience using cooling composite graft (Hirase technique) for distal finger amputation, as alternative to microsurgery implantation. Read More