FINGERTIP INJURIES

Question 1

Indications for conservative treatment with digital tip injuries with skin and pult loss only

Answer 1

Digital tip amputations 1 cm2 or less WITHOUT exposed bone or nail bed involvement

Question 2

conservative treatment with digital tip injuries with skin and pult loss only

Answer 2

Serial dressing changes:
Non adherent dressing on the wound + gauze on top
Follow up wound check in 2 days

Soak injured finger for 10 minutes a day in warm water + antibacterial soap
THEN
Tap-water irrigation and application of new sterile non adherent dressing

Question 3

Alternatives to conservative treatment with digital tip injuries with skin and pult loss only

Answer 3

Use viable portion as a full thickness skin graft
OR
Skin graft from distant site

Question 4

Where do fingertip injuries occur?

Answer 4

Distal to the insertion of the deep flexor and extensor tendons

Question 5

Goal of repair

Answer 5

preserve length and maintain sensitivity and functionality