755 results match your criteria Fingertip Injuries


Treatment of fingertip avulsion injuries using two periposition pedicled flaps.

J Plast Reconstr Aesthet Surg 2019 Jan 9. 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
January 2019
3 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
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http://dx.doi.org/10.1186/s40001-018-0357-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306003PMC
December 2018
4 Reads

Modified single pedicle reverse adipofascial flap for fingertip reconstruction.

Microsurgery 2018 Dec 17. 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
December 2018
1 Read

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

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
5 Reads

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

Ann Plast Surg 2019 Jan;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
14 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
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http://dx.doi.org/10.3205/iprs000125DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6218674PMC
October 2018
12 Reads

Pediatric hand injuries: Practical approach for primary care physicians.

Can Fam Physician 2018 Nov;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
11 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
15 Reads

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

J Hand Surg Am 2018 Oct 23. 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
October 2018
1 Read

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
7 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
4 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
1 Read

Lipofilling of Fingertips for Volume Defects after Fingertip Injuries.

Ann Plast Surg 2018 Dec;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
5 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

[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 Oct;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
11 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
2 Reads

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

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

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http://dx.doi.org/10.1177/1558944718772387DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6081791PMC
July 2018
2 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
3 Reads

The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation.

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

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http://dx.doi.org/10.1016/j.injury.2018.03.027DOI Listing
June 2018
2 Reads

Impact of Targeted Assistance of Multiarticular Finger Musculotendons on the Coordination of Finger Muscles During Isometric Force Production.

IEEE Trans Neural Syst Rehabil Eng 2018 03;26(3):619-628

Neurological injuries often cause degraded motor control. While rehabilitation efforts typically focus on movement kinematics, abnormal muscle activation patterns are often the primary source of impairment. Muscle-based therapies are likely more effective than joint-based therapy. Read More

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http://dx.doi.org/10.1109/TNSRE.2018.2800052DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5874132PMC
March 2018
4 Reads

A prospective randomised comparison of fixation methods in Tamai's zone I amputation.

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

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http://dx.doi.org/10.1016/j.bjps.2018.02.005DOI Listing
July 2018
2 Reads

One-stage wound healing of fingertip injuries induced by treatment of artificial dermis.

Handchir Mikrochir Plast Chir 2018 Aug 5;50(4):269-275. Epub 2018 Mar 5.

Wuhan Union Hospital Hand Surgery.

Backround: Fingertip injuries are common in both adults and children. Many operative and non-operative management techniques have been reported to restore the function and cosmetic shape of fingertips after injuries. Although these methods may be used for different indications in clinical settings, few of them can treat all kinds of fingertip injuries. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0044-102304
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http://dx.doi.org/10.1055/s-0044-102304DOI Listing
August 2018
1 Read

Digit Tip Regeneration: Merging Regeneration Biology with Regenerative Medicine.

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

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http://dx.doi.org/10.1002/sctm.17-0236DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5827737PMC
March 2018
5 Reads

High-Pressure Water Injection Injuries of the Hand May Not Be Trivial.

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

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http://dx.doi.org/10.3928/01477447-20180123-04DOI Listing
March 2018
7 Reads

Why borrow from Peter when Paul can afford it? Reverse homodigital artery flap for fingertip reconstruction.

Indian J Plast Surg 2017 May-Aug;50(2):187-192

Department of Plastic and Reconstructive Surgery, Saveetha Medical College, Kancheepuram, Tamil Nadu, India.

Background: Fingertip injuries that are complicated by pulp loss, bone or tendon exposure will need a flap cover. Cross finger flap is commonly used to cover such defects. However, patients are apprehensive about injuring the uninjured finger as a donor site. Read More

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http://dx.doi.org/10.4103/ijps.IJPS_98_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5770933PMC
January 2018
11 Reads

The blastema and epimorphic regeneration in mammals.

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

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http://dx.doi.org/10.1016/j.ydbio.2017.08.007DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5753424PMC
January 2018
8 Reads

Refining the cross-finger flap: Considerations of flap insetting, aesthetics and donor site morbidity.

J Plast Reconstr Aesthet Surg 2018 Apr 28;71(4):566-572. Epub 2017 Nov 28.

Department of Plastic and Reconstructive Surgery, Chang Gung Memorial Hospital, Chang Gung University and Medical College, Taoyuan, Taiwan.

We described a laterally based cross-finger flap for reconstruction of soft tissue defects in the fingers. This modification enables coverage of volar or dorsal soft tissue defects at the distal, middle or proximal phalanx. From March 2015 to January 2017, a total of 12 patients (13 fingers) underwent soft tissue reconstruction of the fingers with a laterally based cross-finger flap. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S17486815173048
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http://dx.doi.org/10.1016/j.bjps.2017.11.014DOI Listing
April 2018
9 Reads

Polypropylene prosthesis for the treatment of fingertip injuries. Description of surgical technique and results.

Rev Bras Ortop 2017 Nov-Dec;52(6):685-692. Epub 2017 Oct 26.

Santa Casa de Misericórdia de Vitória, Departamento de Ortopedia e Traumatologia, Vitória, ES, Brazil.

Objective: Report the results of treatment of fingertip injuries and describe this reproducible and low cost surgical technique, which utilizes a polypropylene prosthesis that temporarily replaces the nail and is placed on the area of injury, providing protection and encouragement for healing by secondary intention.

Method: This study evaluated 22 patients with traumatic injuries of the fingertips in the period from January 2012 to December 2015. All procedures were performed by the same surgeon. Read More

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http://dx.doi.org/10.1016/j.rboe.2016.10.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5720855PMC
October 2017
6 Reads

Management of Nail Bed Injuries Associated with Fingertip Injuries.

Indian J Orthop 2017 Nov-Dec;51(6):709-713

Department of Physiology, Sree Narayana Institute of Medical Sciences, Ernakulum, Kerala, India.

Background: Management of nail injuries can often be a challenging experience, especially in presence of complex fingertips' injuries that include soft tissue loss and distal phalanx injury. Most studies found in the literature focus on individual injuries and describe methods to tackle those injuries, notwithstanding the fact that the nail, nailbed, distal phalanx, soft tissue and skin of the finger tip form a complex and often more than one element of this complex is injured. This retrospective study therefore focuses on the management of nail bed injuries as a part of the complex finger tip injury and outlines the surgical principles and techniques that were used in their management. Read More

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http://dx.doi.org/10.4103/ortho.IJOrtho_231_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5688867PMC
December 2017
3 Reads

A Technique for Tripartite Reconstruction of Fingertip Injuries Using the Thenar Flap With Bone and Nail Bed Grafts.

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

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http://dx.doi.org/10.1016/j.jhsa.2017.09.011DOI Listing
December 2017
5 Reads

Navigation-Assisted Nasal Bone Osteotomy for Malunited Fracture.

J Craniofac Surg 2018 Jan;29(1):156-158

Department of Plastic and Reconstructive Surgery, Toho University Omori Medical Center, Tokyo, Japan.

Background: Nasal bone osteotomy subjectively judges the position for osteotomy by visual inspection and by manual feel using the fingertip. Therefore, the outcome depends on the surgeon's experience and mastery of the procedure is technically challenging.

Methods: The authors applied a navigation system for the intraoperative evaluation of the osteotomy line and reduction position in 5 patients with malunited nasal bone fracture. Read More

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http://dx.doi.org/10.1097/SCS.0000000000004075DOI Listing
January 2018
11 Reads

Fingertip Winding Suture: Pull-out Suture Technique for Flexor Tendon Repair in Zone I.

Tech Hand Up Extrem Surg 2017 Dec;21(4):143-148

*Faculty of Medicine, Kasr Al Ainy Hospital, Cairo University, Cairo†Hand Clinic, Giza, Egypt.

Injuries to flexor tendons in zone I has always been challenging during repair. Over the time several techniques were developed and modified to achieve the highest repair strength and thus the best functional outcome. These techniques vary from pull-out sutures with internal and external fixation to the use of bone anchors. Read More

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http://dx.doi.org/10.1097/BTH.0000000000000167DOI Listing
December 2017
13 Reads

Ulnar Thumb Pulp Reconstruction Using the Anterograde Homodigital Neurovascular Island Flap.

J Hand Surg Am 2018 01 11;43(1):89.e1-89.e7. Epub 2017 Nov 11.

OSS Health, York, PA. Electronic address:

The thumb ulnar pulp is a critical component of key pinch and precision manipulation. Injuries to this area should be reconstructed with robust, sensate tissue that restores bulk and contour. The existing reconstructive options, however, have substantial risks and drawbacks. Read More

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http://dx.doi.org/10.1016/j.jhsa.2017.10.013DOI Listing
January 2018
5 Reads

Management of partial fingertip amputation in adults: Operative and non operative treatment.

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

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http://dx.doi.org/10.1016/j.injury.2017.10.042DOI Listing
December 2017
12 Reads

Innervated full thickness grafts in distal finger amputations.

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

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https://linkinghub.elsevier.com/retrieve/pii/S10081275163037
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http://dx.doi.org/10.1016/j.cjtee.2017.04.008DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832454PMC
December 2017
8 Reads

Study protocol for a randomized controlled pilot-trial on the semiocclusive treatment of fingertip amputation injuries using a novel finger cap.

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

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http://dx.doi.org/10.1097/MD.0000000000008224DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5662314PMC
October 2017
31 Reads

Outcomes in Patients Treated with a Novel, Simple Method for Hemostasis of Dermal Avulsion Injuries.

Adv Skin Wound Care 2017 Oct;30(10):460-463

Sean Taylor Dowling, BA, is Clinical Research Coordinator, Department of Medicine, University of California San Francisco, San Francisco, California. Brian Wai Lin, MD, FACEP, FAAEM, is an Attending Physician, Department of Emergency Medicine, Kaiser Permanente, and Assistant Clinical Professor, Department of Emergency Medicine, University of California San Francisco, San Francisco, California.

Objective: A recently described technique proposes a simple method to achieve permanent hemostasis of distal fingertip dermal avulsion injuries. It is simple to learn and easy to perform with readily available materials found in most emergency departments. However, long-term outcomes for patients treated with this technique have not yet been evaluated. Read More

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http://dx.doi.org/10.1097/01.ASW.0000521049.72160.37DOI Listing
October 2017
9 Reads

[Prophylactic plexus catheter treatment in operations following complex regional pain syndrome (CRPS)].

Handchir Mikrochir Plast Chir 2017 Aug 14;49(3):169-174. Epub 2017 Aug 14.

BG Unfallklinik Ludwigshafen, Klinik für Hand-, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletzten-zentrum.

 This paper investigates and discusses the effect of perioperative plexus catheter treatment in former CRPS patients. A retrospective matched-pair analysis was conducted on 10 CRPS patients with comparable injuries, who underwent surgery in the disease-free interval. In 10 cases, the procedure was performed with perioperative plexus catheter treatment (intervention group), whereas 10 patients did not receive perioperative plexus catheter treatment (control group). Read More

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http://dx.doi.org/10.1055/s-0043-115390DOI Listing
August 2017
24 Reads

[Functional outcome following high-pressure injection injuries of the hand].

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

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http://dx.doi.org/10.1055/s-0043-115391DOI Listing
August 2017
32 Reads

Reverse Distal Transverse Palmar Arch in Distal Digital Replantation.

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

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http://dx.doi.org/10.1097/SAP.0000000000001191DOI Listing
November 2017
2 Reads

Direct repair of the sagittal band for extensor tendon subluxation caused by finger flicking.

Orthopade 2017 Sep;46(9):755-760

Department of Orthopaedic Surgery, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam-si, Gyeonggi-do, Republic of Korea.

Purpose: For patients with metacarpophalangeal (MCP) extensor tendon subluxation caused by finger flicking injury, we performed an extensor tendon realignment and direct repair technique. The purpose of this study was to evaluate the clinical outcome after direct repair of the sagittal band in patients with MCP extensor tendon subluxation caused by finger flicking injury and to introduce the repair technique.

Methods: A total of 26 patients with a mean age of 39. Read More

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http://dx.doi.org/10.1007/s00132-017-3450-2DOI Listing
September 2017
8 Reads

The Effect of Isolated Finger Stiffness on Adjacent Digit Function.

Hand (N Y) 2017 Mar 1:1558944717697430. Epub 2017 Mar 1.

1 Division of Plastic Surgery, Department of Surgery, Western University, London, Ontario, Canada.

Background: Isolated stiffness in a single finger can affect the function of adjacent digits and decrease overall hand function due to the quadriga phenomenon. This study objectively quantifies the dysfunctional impact of each individual stiff finger upon the remaining digits.

Methods: Twenty-five individuals (10 men and 15 women) with a mean age of 31 years (range, 18-58 years) without any upper limb pathology, neuropathy, or systemic illness were recruited. Read More

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http://dx.doi.org/10.1177/1558944717697430DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987966PMC
March 2017
12 Reads

Common Hand Problems with Different Treatments in Countries in Asia and Europe.

Hand Clin 2017 08;33(3):561-569

Plastic Surgery and Hand Surgery Division, University Hospital Zurich, Zurich, Switzerland.

Common hand problems are treated differently in different countries. This article attempts to bring together the views of surgeons from different countries on some of the most common hand problems that hand surgeons encounter in daily practice. In practice, the correct treatment of these problems may be the most important and influential to patients. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.04.010DOI Listing
August 2017
9 Reads

Technical Points of 5 Free Vascularized Flaps for the Hand Repairs.

Hand Clin 2017 08;33(3):443-454

Department of Hand Surgery, Affiliated Hospital of Nantong University, 20 West Temple Road, Nantong 226001, Jiangsu, China. Electronic address:

In this article, we present the experiences from Chinese microsurgeons on 5 less commonly used free vascularized flaps in hand reconstruction. In many units in China, these flaps have become the mainstays of treatment; they are routinely used for fingertip and thumb reconstruction. Their combined experience has demonstrated the reliability and versatility of these flaps for hand reconstruction, as well as their cosmetic value. Read More

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http://dx.doi.org/10.1016/j.hcl.2017.04.011DOI Listing
August 2017
3 Reads

Fingertip Injuries in Children: Epidemiology, Financial Burden, and Implications for Prevention.

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

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http://dx.doi.org/10.1177/1558944716670139DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5484449PMC
July 2017
4 Reads

Innervated dorsoradial perforator free flap: A reliable supermicrosurgery fingertip reconstruction technique.

J Plast Reconstr Aesthet Surg 2017 Aug 27;70(8):1001-1008. Epub 2017 May 27.

Hand and Foot Surgical Center, Shandong Provincial Hospital Affiliated to Shandong University, Jinan, Shandong 250000, China. Electronic address:

Introduction: This study demonstrates the use of a modified free innervated DRAP flap utilizing the supermicrosurgery technique for fingertip reconstruction.

Materials And Methods: From January 2010 to February 2014, 20 cases of fingertip reconstruction were performed using a short pedicle mini innervated transverse DRAP flap. The patients demographics, the mechanism of injury, the defect size and anatomical location, the source of pedicle vessels, the recipient vessels, the nerve branch used for innervation, the follow-up and sensation outcomes are reported. Read More

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http://dx.doi.org/10.1016/j.bjps.2017.05.038DOI Listing
August 2017
47 Reads

Intramedullary Venous Drainage System for Distal Fingertip Replantations.

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

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http://Insights.ovid.com/crossref?an=00000637-201708000-0001
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http://dx.doi.org/10.1097/SAP.0000000000001095DOI Listing
August 2017
5 Reads