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Related Experiment Video

Updated: May 4, 2026

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One-stage Integra coverage for fingertip injuries.

Sidney M Jacoby1, Abdo Bachoura2, Neal C Chen2

  • 1The Philadelphia Hand Center, P.C. 834 Chestnut Street, Suite G114, Philadelphia, PA 19107 USA ; The Philadelphia Hand Center, Thomas Jefferson University, 700 South Henderson Road, Suite 200, King of Prussia, PA 19406 USA.

Hand (New York, N.Y.)
|January 16, 2014
PubMed
Summary
This summary is machine-generated.

One-stage Integra skin coverage effectively treats fingertip defects, offering a single-stage solution. Patients reported high satisfaction and functional recovery despite minor sensory loss.

Keywords:
FingertipHandIntegraTissue reconstruction

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Regenerative Medicine

Background:

  • Fingertip defects present a reconstructive challenge.
  • One-stage Integra skin coverage is a potential treatment modality.

Purpose of the Study:

  • To evaluate the efficacy of one-stage Integra coverage for fingertip defects.
  • To assess patient outcomes including sensation, function, and satisfaction.

Main Methods:

  • Nine patients with fingertip injuries underwent one-stage Integra coverage directly on bone.
  • Sensory perception was assessed using static two-point discrimination and Semmes-Weinstein Monofilament Test (SWMFT).
  • Patient-reported outcomes included QuickDASH, Cold Intolerance Symptom Severity (CISS), visual analog scale (VAS) for satisfaction, and pain scale.

Main Results:

  • The average defect size was 2.3 cm², with a mean follow-up of 16 months.
  • Patients reported high satisfaction (median VAS 10/10) and low pain (median 0/10).
  • Affected digits showed mean static two-point discrimination of 9.6 mm and median SWMFT of 4.31.

Conclusions:

  • One-stage Integra coverage is effective for small fingertip defects, avoiding donor site morbidity and additional surgery.
  • Patients achieved high satisfaction and functional recovery in the short term.
  • Mild sensory deficits were observed but did not significantly impact overall outcomes.