794 results match your criteria Fingertip Injuries


Experience with the Use of Splint Caps for the Management of Fingertip Amputation Injuries.

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

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http://dx.doi.org/10.1142/S242483552050023XDOI Listing

Finger pulp reconstruction with thenar flap: Aesthetic and functional outcome.

Chin J Traumatol 2020 Feb 22. Epub 2020 Feb 22.

Department of Burns and Plastic Surgery, All India Institute of Medical Sciences, Jodhpur, 342005, India. Electronic address:

Purpose: Fingertip injuries are common in the industrial and factory workers as well as in the domestic settings. Loss of pulp hampers daily life activities. Functional and aesthetic aspects are important in fingertip reconstruction. Read More

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http://dx.doi.org/10.1016/j.cjtee.2020.02.004DOI Listing
February 2020

The unilateral perforator V-Y flap for fingertip reconstruction-a versatile technique.

JPRAS Open 2020 Mar 5;23:1-7. Epub 2019 Nov 5.

Department of Plastic Surgery, Royal London Hospital, Barts Health NHS Trust, London.

Fingertip amputations are a very common form of injury seen in the emergency departments. Various techniques have been described for the management of these injuries including simple dressings, skin grafts, homodigital, heterodigital and regional flaps and also free flaps. We present our experience with 10 cases of unilateral V-Y flaps raised on a perforator vessel and advanced in a modified fashion to cover the entire tip with a single flap. Read More

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http://dx.doi.org/10.1016/j.jpra.2019.10.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061637PMC

Management of Pediatric Distal Fingertip Injuries: A Systematic Literature Review.

Plast Reconstr Surg Glob Open 2020 Jan 20;8(1):e2595. Epub 2020 Jan 20.

Department of Plastic Surgery, St. Thomas' Hospital, London, UK.

Nail bed and fingertip injuries are the commonest hand injuries in children and can lead to profound functional and cosmetic impairments if not appropriately managed. Fingertip injuries can present with subungual hematomas, simple or stellate lacerations, crush, or avulsion injuries, often with associated fractures or tip amputations. The fundamentals of managing nail bed injuries concern restoring the form and function of a painless fingertip. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002595DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7015615PMC
January 2020

Fingertip Injury and Management.

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

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http://dx.doi.org/10.2106/JBJS.ST.19.00008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6948999PMC
September 2019

Reconstruction for Defects of Total Nail Bed and Germinal Matrix Loss with Acellular Dermal Matrix Coverage and Subsequently Skin Graft.

Medicina (Kaunas) 2020 Jan 3;56(1). Epub 2020 Jan 3.

Division of Plastic Surgery, Department of Surgery, Kaohsiung Medical University Hospital, Kaohsiung 807, Taiwan.

Nail bed and germinal matrix loss due to wide excision for fingertip tumors or malignancy are occasionally encountered complications. These defects also result from severely comminuted fingertip crush injuries. Large-area dorsal finger or toenail bed defects, which usually present with phalangeal bone exposure, remain challenging regardless of the usage of different reconstruction strategies. Read More

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http://dx.doi.org/10.3390/medicina56010017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7023242PMC
January 2020
0.508 Impact Factor

Fingertip reconstruction by palmar bipedicular island flap in long fingers (modified neurovascular Tranquilli-Leali flap): A dual-center study.

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

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http://dx.doi.org/10.1016/j.hansur.2019.11.003DOI Listing
February 2020

A New Surface Landmark for Thumb Digital Nerve Bifurcation: A Cadaveric Study.

J Hand Surg Am 2020 Apr 9;45(4):362.e1-362.e4. Epub 2019 Nov 9.

Department of Orthopedic Surgery, London, Ontario, Canada; Department of Surgery, Western University, London, Ontario, Canada; Roth-McFarlane Hand and Upper Limb Centre, St. Joseph's Health Care, London, Ontario, Canada. Electronic address:

Purpose: The radial and ulnar thumb digital nerves are critical for tactile sensation and dexterity in the hand. This cadaveric study sought to validate a surface landmark for the bifurcation of the thumb radial digital nerve (RDN) and ulnar digital nerve (UDN).

Methods: We used 24 fresh-frozen cadaveric specimens for dissections. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.09.004DOI Listing

Preliminary Study on Functional and Aesthetic Reconstruction by Using a Small Artery-only Free Medial Flap of the Second Toe for Fingertip Injuries.

Clinics (Sao Paulo) 2019 21;74:e1226. Epub 2019 Oct 21.

Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guang zhou, 510080, China.

Objectives: This study was designed to introduce the feasibility of fingertip reconstruction by using a free medial flap of the second toe without vein anastomosis.

Methods: In total, 8 patients with fingertip injuries were treated successfully with this method. Patients who underwent reconstruction from September 2016 to October 2017 in our hospital with an artery-only free medial flap transfer of the second toe for fingertip injuries were included, and patients who underwent additional procedures that may impact the postoperative results and were followed up for less than 6 months were excluded. Read More

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http://dx.doi.org/10.6061/clinics/2019/e1226DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6792235PMC

Supermicrosurgery in fingertip defects-split tibial flap of the second toe to reconstruct multiple fingertip defects: A case report.

World J Clin Cases 2019 Sep;7(17):2562-2566

Department of Microsurgery and Orthopedic Trauma, the First Affiliated Hospital of Sun Yat-sen University, Guangzhou 510080, Guangdong Province, China.

Background: Injuries to multiple fingertips pose a significant treatment dilemma. Numerous reconstructive options exist, all with the ultimate goal of restoring function and sensibility to the injured fingertips.

Case Summary: A 24-year-old male suffered injury to multiple fingertips of the right hand, resulting in exposed distal phalanges of the middle, ring, and small fingers. Read More

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http://dx.doi.org/10.12998/wjcc.v7.i17.2562DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745310PMC
September 2019
3 Reads

Common causes and types of hand injuries and their pattern of occurrence in Yekatit 12 Hospital, Addis Ababa, Ethiopia.

Pan Afr Med J 2019 25;33:142. Epub 2019 Jun 25.

Addis Ababa University, College of Health Sciences, Addis Ababa, Ethiopia.

Introduction: Hand injuries constitute a major proportion of trauma emergencies in developing countries. The hand establishes the individual in society, allowing them to meet social and economic responsibilities. Previously hand traumas accounted for 12% of major limb traumas in Addis Ababa, Ethiopia; but data on the specific types of tissue injuries and pattern of occurrence of these injuries over the years is limited. Read More

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http://dx.doi.org/10.11604/pamj.2019.33.142.18390DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6754836PMC
October 2019
2 Reads

Management of fingertip injuries in Scotland and the United Kingdom.

J Hand Surg Eur Vol 2019 12 11;44(10):1102-1105. Epub 2019 Sep 11.

St John's Hospital, Livingston, UK.

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http://dx.doi.org/10.1177/1753193419873555DOI Listing
December 2019
2 Reads

A New Surgical Method to Reconstruct the Fingertip.

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

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http://dx.doi.org/10.1097/SAP.0000000000002002DOI Listing
December 2019
2 Reads

Extended thenar flap for two adjacent fingertip amputations.

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

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http://dx.doi.org/10.1016/j.bjps.2019.07.002DOI Listing
January 2020
1 Read

Long-term outcome of fingertip reconstruction with the homodigital neurovascular island flap.

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

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http://dx.doi.org/10.1007/s00402-019-03198-4DOI Listing
August 2019
30 Reads

Approach to Fingertip Injuries.

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

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http://dx.doi.org/10.1016/j.cps.2019.02.001DOI Listing
July 2019
19 Reads

Graft Reposition on Flap: Mid-Term Result in Allen Type IV Amputation.

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

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http://dx.doi.org/10.1142/S2424835519500292DOI Listing
June 2019
10 Reads

The difference of subcutaneous digital nerve block method efficacy according to injection location.

Am J Emerg Med 2020 01 15;38(1):95-98. Epub 2019 Apr 15.

Department of Emergency Medicine, Soonchunhyang University Bucheon Hospital, Republic of Korea. Electronic address:

Introduction: Finger injuries are commonly attended to in the emergency department, and digital nerve block is a frequently performed procedure for such injuries. This study compared the efficacy levels of the subcutaneous method according to the different injection sites.

Method: This was a simulation study for medical students who rendered medical service at the emergency department. Read More

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http://dx.doi.org/10.1016/j.ajem.2019.04.031DOI Listing
January 2020
8 Reads

Nail bed and flap reconstructions for acute fingertip injuries - A case review and report of a chemical burn injury.

J Orthop Surg (Hong Kong) 2019 May-Aug;27(2):2309499019839278

Department of Orthopaedic Surgery, National Orthopaedic Centre of Excellence for Research and Learning (NOCERAL), Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.

Nail bed injuries were commonly found concomitantly with fingertip injuries. Reconstruction of fingertip including the nail bed should be attempted at acute stage. Aim of the surgery was to restore as much finger length and achieve normal nail growth. Read More

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http://dx.doi.org/10.1177/2309499019839278DOI Listing
March 2020
6 Reads

Recent Topics on Fingertip Replantations Under Digital Block.

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

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http://dx.doi.org/10.1016/j.hcl.2018.12.007DOI Listing
May 2019
7 Reads

Serial stab incision venous drainage technique for simple artery-only fingertip replantation.

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

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http://dx.doi.org/10.1177/2309499019831480DOI Listing
April 2020
6 Reads

[Covering of Finger-Tissue Loss by Local Flaps in Hanoi, Vietnam].

Bull Soc Pathol Exot 2018 ;111(2):121-125

Department of surgery in Hai Phong University of Medicine and Pharmacy, 72A Nguyen Binh Khiem, Ngo Quyen (district), Hai Phong, Vietnam.

The accidental loss of fingertip soft tissues, which may expose tendons and bones, is a common injury in emergency departments. If these lesions are poorly treated, they can impair fine motor skills and tactile sensitivity of the fingertips. The study was conducted on 30 patients (24 males and 6 females) with 32 soft tissue defects of the fingertip treated in emergency plastic surgery with local pedicled flap at the Plastic Surgery Department of Saint Paul Hospital Hanoi from 01/2016 to 06/2017. Read More

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http://dx.doi.org/10.3166/bspe-2018-0023DOI Listing
June 2019
5 Reads

Re: Eo S, Doh G, Lim S, Hong K. Analysis of the risk factors that determine composite graft survival for fingertip amputation. J Hand Surg Eur. 2018, 43:1030-35.

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.

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http://dx.doi.org/10.1177/1753193418819061DOI Listing
March 2019
4 Reads

Flap Related Complications Requiring Secondary Surgery in a Series of 851 Local Flaps Used for Fingertip Reconstruction.

J Hand Surg Asian Pac Vol 2019 Mar;24(1):24-29

‖ Department of Orthopaedic Surgery, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.

Background: Local flaps are widely used to cover fingertip defects. Errors in design or technical execution of the flap may lead to morbidity and additional surgical procedure. The purpose of this study was to review flap related complications requiring unplanned secondary surgery to characterize preventable issues. Read More

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http://dx.doi.org/10.1142/S242483551950005XDOI Listing
March 2019
6 Reads

Treatment of fingertip avulsion injuries using two periposition pedicled flaps.

J Plast Reconstr Aesthet Surg 2019 Apr 9;72(4):628-635. Epub 2019 Jan 9.

The Department of Bone Oncology, Tianjin Hospital, No.406 Jiefang Road, Tianjin 300211, China. Electronic address:

We described a treatment of fingertip avulsion injury by two periposition pedicled flaps, the reversed pedicle island flap of dorsal branch of proper digital artery and the cross-finger flap. From February 2009 to January 2017, 22 patients (22 fingers) with fingertip avulsion injury were treated with two periposition pedicled flaps, 14 male and 8 female, aged from 17 to 47 years (mean 32 ± 9 years). All of the patients were followed up more than 6 months after operations (mean 9. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815193001
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http://dx.doi.org/10.1016/j.bjps.2018.12.051DOI Listing
April 2019
40 Reads

Occlusive dressing-induced secretomes influence the migration and proliferation of mesenchymal stem cells and fibroblasts differently.

Eur J Med Res 2018 Dec 26;23(1):60. Epub 2018 Dec 26.

Department for Trauma Surgery, Orthopedic Surgery and Plastic Surgery, University Medical Center Goettingen, Goettingen, Germany.

Background: Fingertip injuries treated with occlusive dressings (ODs) lead to nearly scar-free, functionally, and aesthetically pleasing results. We hypothesized that paracrine factors in the wound fluid (secretome) may influence migration and proliferation of mesenchymal stem cells (MSCs) and fibroblasts and modulate the wound-healing process.

Methods: We could collect wound fluid samples from 4 fingertip injuries and 7 split skin donor sites at the 5th day during dressing change. Read More

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https://eurjmedres.biomedcentral.com/articles/10.1186/s40001
Publisher Site
http://dx.doi.org/10.1186/s40001-018-0357-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306003PMC
December 2018
33 Reads

Wearable Nail Deformation Sensing for Behavioral and Biomechanical Monitoring and Human-Computer Interaction.

Sci Rep 2018 12 21;8(1):18031. Epub 2018 Dec 21.

IBM Thomas J. Watson Research Center, 1101 Kitchawan Road, Yorktown Heights, NY, 10598, USA.

The dynamics of the human fingertip enable haptic sensing and the ability to manipulate objects in the environment. Here we describe a wearable strain sensor, associated electronics, and software to detect and interpret the kinematics of deformation in human fingernails. Differential forces exerted by fingertip pulp, rugged connections to the musculoskeletal system and physical contact with the free edge of the nail plate itself cause fingernail deformation. Read More

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http://dx.doi.org/10.1038/s41598-018-36834-xDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303398PMC
December 2018

[Application of Ilizarov technique in functional reconstruction of thumb degloving injury after amputation].

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

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http://www.rrsurg.com/article/10.7507/1002-1892.201803047
Publisher Site
http://dx.doi.org/10.7507/1002-1892.201803047DOI Listing
December 2018
36 Reads

Modified single pedicle reverse adipofascial flap for fingertip reconstruction.

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

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http://dx.doi.org/10.1002/micr.30404DOI Listing
March 2019
10 Reads

Treatment of tendinous mallet fingers using a Stack splint versus a dorsal glued splint.

Eur J Orthop Surg Traumatol 2019 Apr 28;29(3):591-596. Epub 2018 Nov 28.

Department of Hand Surgery, SOS Main, CCOM, Icube CNRS, 7357, University Hospital of Strasbourg, FMTS, University of Strasbourg, 10 Avenue Baumann, 67400, Illkirch, France.

The goal of this study was to compare the results of a Stack splint compared to a dorsal glued splint in the treatment of tendinous mallet fingers. Our series included 100 patients, aged 47 years in average, among which 40 are women, with a 9-week follow-up. The first 50 patients (group I) were treated with a dorsal glued splint, and the 50 following patients (group II) were treated with a Stack splint. Read More

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http://dx.doi.org/10.1007/s00590-018-2349-xDOI Listing
April 2019
7 Reads

Extended Hueston Flap: New Solution for Primary Closure.

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

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http://dx.doi.org/10.1055/s-0038-1636833DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6255732PMC
December 2018
7 Reads

TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL.

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

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http://dx.doi.org/10.1590/1413-785220182604187738DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220655PMC
January 2018
25 Reads

Lateral Toe Pulp Flap Used in Reconstruction of Distal Dorsal Toe Defect: Case Report and Review of the Literature.

Ann Plast Surg 2019 01;82(1S Suppl 1):S136-S139

From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Buddhist Tzu-Chi General Hospital, School of Medicine, Tzu-Chi University, Hualien, Taiwan.

Background: When the distal dorsal part of the great toe is injured, especially with exposure of a tendon, bone, or joint, applying a free or local flap is difficult because of the lack of locally available tissue for reconstruction. Management of the distal dorsal part of a great toe soft tissue defect can be challenging for plastic surgeons.

Patient And Method: An 18-year-old woman presented with an injury to the dorsal aspect of her right great toe caused by a cobra bite. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001703DOI Listing
January 2019
18 Reads

Repair of soft tissue defects in finger, thumb and forearm: less invasive methods with similar outcomes.

J Hand Surg Eur Vol 2018 12;43(10):1019-1029

4 Department of Hand Surgery, Affiliated Hospital of Nantong University, Nantong, China.

We review recent developments in using occlusive dressings, dermal templates, and venous flaps for less invasive approaches to treat soft tissue defects of the forearm and fingers. Occlusive dressings can be used for thumb tip or fingertip trauma with soft tissue defects of small or moderate sizes. They permit skin regeneration without use of skin graft or a flap transfer. Read More

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http://dx.doi.org/10.1177/1753193418805698DOI Listing
December 2018
36 Reads

Conservative treatment of fingertip injuries in children - first experiences with a novel silicone finger cap that enables woundfluid analysis.

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

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http://www.egms.de/en/journals/iprs/2018-7/iprs000125.shtml
Publisher Site
http://dx.doi.org/10.3205/iprs000125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218674PMC
October 2018
46 Reads

Pediatric hand injuries: Practical approach for primary care physicians.

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

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6234925PMC
November 2018
28 Reads

Comparisons between long-term outcomes of the use of reposition flaps and replantations in fingertip amputations.

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

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https://www.researchgate.net/publication/19180875_Replantati
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http://dx.doi.org/10.5505/tjtes.2018.67217DOI Listing
September 2018
45 Reads

Comparison of Homodigital Dorsolateral Flap and Cross-Finger Flap for the Reconstruction of Pulp Defects.

J Hand Surg Am 2019 Jul 23;44(7):616.e1-616.e7. Epub 2018 Oct 23.

Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, KY. Electronic address:

Purpose: The homodigital dorsolateral flap (HDF) was described to treat various types of pulp and fingertip defects. The aim of this study was to analyze the intermediate-term function after fingertip reconstruction with HDF and compare these results with the cross-finger flap.

Methods: We analyzed a retrospective cohort of 25 patients. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.09.006DOI Listing
July 2019
5 Reads

Relation between finger cold-induced vasodilation and rewarming speed after cold exposure.

Eur J Appl Physiol 2019 Jan 16;119(1):171-180. Epub 2018 Oct 16.

Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, Vrije Universiteit Amsterdam, Amsterdam Movement Sciences, Van der Boechorststraat 7, 1081BT, Amsterdam, The Netherlands.

Purpose: The risk for local cold injuries has been linked to poor cold-induced vasodilation (CIVD) during cold exposure and to poor rewarming after cold exposure. The purpose of this study is to establish the relation between CIVD and rewarming speed.

Methods: Twelve participants immersed one hand in ice water for 30 min to evoke CIVD and the other hand in ice water for 10 min to investigate the rewarming profile. Read More

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http://link.springer.com/10.1007/s00421-018-4012-y
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http://dx.doi.org/10.1007/s00421-018-4012-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6342884PMC
January 2019
12 Reads

Repair of soft tissue defects of the fingers with medial plantar venous flap.

Rev Assoc Med Bras (1992) 2018 Jun;64(6):501-508

Department of hand and foot surgery, Yiwu Central Hospital, Jiangdong Road 699#, Yiwu city, Zhejiang province, China.

Objective: To report the surgical procedures and efficacy of using medial plantar venous flap for the repair of soft tissue defects of the fingers.

Methods: From March 2010 to April 2012, medial plantar venous flaps were harvested to repair the wounds of 31 fingers in 29 cases. Among them, there were 13 middle fingers with defects at the tips in 11 cases, 7 fingers with defects in the dorsal part in 7 cases, and 11 fingers with defects in the finger pulp in 11 cases. Read More

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http://dx.doi.org/10.1590/1806-9282.64.06.501DOI Listing
June 2018
33 Reads

Analysis of the risk factors that determine composite graft survival for fingertip amputation.

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

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http://journals.sagepub.com/doi/10.1177/1753193418795820
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http://dx.doi.org/10.1177/1753193418795820DOI Listing
December 2018
17 Reads

Fingertip injuries in children: a review of the literature.

Authors:
Yvonne Weir

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

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http://dx.doi.org/10.7748/en.2018.e1795DOI Listing
September 2018
5 Reads

Lipofilling of Fingertips for Volume Defects after Fingertip Injuries.

Ann Plast Surg 2018 12;81(6):653-656

Introduction: Regardless of the good outcomes of conservatively treated fingertip injuries, many patients complain about volume defects and hypoesthesia. Injection of autologous fat into the defect zone may resolve the volume problem and stimulate digital nerve regeneration by adipose derived stem cell transplantation.

Methods: We analyzed 5 volume defects resulting from conservatively treated fingertip injuries in 4 patients (male to female ratio, 2:2), 6 months after the injection of autologous abdominal fat into the defect zone retrospectively. Read More

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http://dx.doi.org/10.1097/SAP.0000000000001587DOI Listing
December 2018
15 Reads

Cross-finger subdermal pocketplasty as a salvage procedure for thumb tip replantation without vascular anastomosis: a case report.

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

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http://dx.doi.org/10.1177/0300060518778112DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135991PMC
September 2018
9 Reads

Palmar Ulnar Artery Perforator Free Flap for Fingertip Reconstruction: Anatomical and Clinical Study.

Biomed Res Int 2018 9;2018:2862879. Epub 2018 May 9.

Department of Plastic and Reconstructive Surgery, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Background: Fingertips are a common site for hand injuries. The ideal substitute for fingertip pulp is tissue that matches texturally with minimal donor site morbidity. We described anatomical findings from cadaveric studies and the reliability of the palmar ulnar artery perforator (PUAP) free flap techniques for the reconstruction of fingertips injuries. Read More

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http://dx.doi.org/10.1155/2018/2862879DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5966683PMC
October 2018
7 Reads

[Effectiveness of wrist tube inside and outside releasing for treating median nerve double entrapment at wrist].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2017 10;31(10):1236-1239

Department of Hand Surgery, the Second Hospital of Tangshan, Tangshan Hebei, 063000, P.R.China.

Objective: To investigate the effectiveness of wrist tube inside and outside releasing for treating median nerve double entrapment at wrist.

Methods: Thirty-one patients of median nerve double entrapment at wrist were treated between April 2011 and May 2014. There were 8 males and 23 females with an age of 33-69 years (mean, 56. Read More

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http://www.rrsurg.com/article/10.7507/1002-1892.201704125
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http://dx.doi.org/10.7507/1002-1892.201704125DOI Listing
October 2017
17 Reads

Effect of manual therapy versus proprioceptive neuromuscular facilitation in dynamic balance, mobility and flexibility in field hockey players. A randomized controlled trial.

Phys Ther Sport 2018 Jul 22;32:173-179. Epub 2018 Apr 22.

Department of Physiotherapy, Faculty of Physiotherapy, University of Valencia, Gascó Oliag Street, 5, 46010, Valencia, Spain. Electronic address:

Objectives: To compare the effectiveness of a specific Manual Therapy (MT) protocol applied to field hockey players (FHP), versus a Proprioceptive Neuromuscular Facilitation (PNF) protocol, in the improvement of dynamic balance, active range of movement and lumbar flexibility one-week and four-weeks after the treatment.

Design: Randomized controlled trial. Participants were assigned to 2 groups: MT and PNF. Read More

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http://dx.doi.org/10.1016/j.ptsp.2018.04.017DOI Listing
July 2018
6 Reads

The modified Souquet flap for reconstruction of fingertip amputations.

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.

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http://dx.doi.org/10.1111/iwj.12881DOI Listing
August 2018
5 Reads
2.023 Impact Factor

Pediatric Digital Necrosis Secondary to Dressing Application: A Case Series.

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

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http://dx.doi.org/10.1177/1558944718772387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081791PMC
July 2018
12 Reads

Liposuction Aspirate Fluid Adipose-Derived Stem Cell Injection and Secondary Healing in Fingertip Injury: A Pilot Study.

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

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http://Insights.ovid.com/crossref?an=00006534-201807000-0002
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http://dx.doi.org/10.1097/PRS.0000000000004506DOI Listing
July 2018
13 Reads