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Long-term outcomes after terminalization for acute fingertip injuries
Mathew B Smith1, Paul H C Stirling1, Jane E McEachan1
1Fife Hand Clinic, Queen Margaret Hospital, Dunfermline, UK.
The Journal of Hand Surgery, European Volume
|April 20, 2024
Summary
Fingertip terminalization offers excellent function and patient satisfaction. However, a significant 33% of patients experienced neuropathic pain after the procedure.
Area of Science:
- Hand surgery
- Reconstructive surgery
- Microsurgery
Background:
- Fingertip injuries are common, impacting function and quality of life.
- Surgical options for fingertip reconstruction aim to restore form and function.
- Fingertip terminalization is a reconstructive technique with varying reported outcomes.
Purpose of the Study:
- To evaluate the long-term functional outcomes and patient satisfaction following fingertip terminalization.
- To determine the incidence of neuropathic pain after fingertip terminalization.
- To provide a comprehensive report on a large cohort over an extended period.
Main Methods:
- Retrospective case series of 90 patients undergoing fingertip terminalization.
- Data collected over a 19-year period.
- Outcomes assessed included functional results, patient satisfaction, and incidence of neuropathic pain.
Main Results:
- Excellent functional outcomes were reported in the majority of patients.
- High levels of patient satisfaction were observed.
- A 33% incidence of neuropathic pain was documented.
Conclusions:
- Fingertip terminalization is an effective procedure for achieving excellent functional results and patient satisfaction.
- Neuropathic pain is a notable complication that requires consideration.
- Further research into managing post-terminalization neuropathic pain is warranted.
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