Fingertip Injuries Treated with Semi-occlusive Dressings
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Abstract
Materials and Methods: 47 fingers with distal injuries were assessed and classified into three groups: a) with skin and subcutaneous cellular tissue involvement, b) with an additional nail injury,and c) with an additional open bone injury. All were covered with a semi-occlusive bandage which was replaced weekly until the wound healed, which took around four weeks.
Results: 41 of the 47 treated fingers displayed excellent functional and aesthetic outcomes, with complete recovery of distal sensibility; nevertheless, 6 patients (14%) required additional surgery, all of whom had work conflicts. The average time for complete healing was 45.7 days, with three dressing replacements required to complete treatment.
Conclusion: Fingertip injuries, even with the phalanx exposed, can be satisfactorily treated with semi-occlusive dressings. Reconstruction is achieved without residual pain, without additional shortening, with good strength and sensitivity, and with an excellent aesthetic appearance of the phalanx. It is also an economical and simple to replicate method.
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