Purse-string suture as a complementary technique with conventional flaps in repairing fingertip amputation

Area of Science:

• Hand surgery
• Reconstructive surgery
• Trauma surgery

Background:

• Fingertip amputations require reconstruction for optimal function and aesthetics.
• Preserving the nail and finger contour is crucial for successful outcomes.

Purpose of the Study:

• To evaluate the efficacy of a purse-string suture as an adjunct to conventional flap repair in fingertip amputations.
• To assess patient satisfaction with functional and aesthetic results.

Main Methods:

• A purse-string suture technique was applied to 41 patients with fingertip amputations and remaining nail bed.
• Conventional flap repair was used in conjunction with the purse-string suture.
• Patient-reported outcomes for pain, motion, and aesthetics were collected.

Main Results:

• High patient satisfaction reported for both functional (97%) and aesthetic outcomes.
• 93% of patients achieved two-point discrimination of less than 3 mm, indicating good sensory recovery.
• No flap necrosis was observed, and donor sites were managed effectively.

Conclusions:

• The purse-string suture technique is an effective and easy complementary method for fingertip reconstruction.
• This technique aids in preserving the nail and achieving satisfactory functional and aesthetic results.
• It is recommended for all fingertip injuries where nail preservation is desired.