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Fingertip amputations treated with occlusive dressings
J Boudard1, F Loisel1, S El Rifaï1
1Service d'orthopédie, de traumatologie, de chirurgie plastique, reconstructrice et assistance main, CHRU de Besançon, CHI Vesoul & CIC IT, 808, boulevard Fleming, 25033 Besançon, France; EA Nano médecine, université de Franche Comté, 1, rue Claude-Goudimel, 25000 Besançon, France.
Hand Surgery & Rehabilitation
|June 12, 2019
Summary
Occlusive dressings offer good outcomes for distal finger amputations, promoting quick healing and excellent fingertip appearance and sensation. This method is preferred for Zone 1 and 2 amputations.
Area of Science:
- Hand surgery
- Regenerative medicine
- Wound healing
Background:
- Distal finger amputations are common injuries.
- Treatment options for fingertip amputations vary, impacting functional and aesthetic outcomes.
- Occlusive dressings represent a conservative approach to wound management.
Purpose of the Study:
- To evaluate the efficacy of occlusive dressings in treating distal finger amputations.
- To assess wound healing time, sensory recovery, and patient satisfaction.
- To compare outcomes with existing literature on other treatment modalities.
Main Methods:
- Retrospective analysis of 19 patients with distal finger amputations treated with occlusive dressings.
- Evaluation of healing time, number of dressings, skin trophic changes, and sensory tests (Weber 2-point discrimination, monofilament test).
- Assessment of complications, dysesthesia, cold intolerance, and QuickDASH scores.
Main Results:
- Mean healing time was 4.3 weeks with an average of 3.2 dressings used.
- Good or excellent fingertip appearance and nail bed in 18 patients.
- Normal or good two-point discrimination in 16 patients, with high patient satisfaction.
Conclusions:
- Occlusive dressings provide favorable functional and aesthetic results for Zone 1 and 2 fingertip amputations.
- This treatment method demonstrates good recovery of tactile sensation and patient satisfaction.
- Occlusive dressings are a preferred alternative to skin flaps for specific zones of amputation.
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