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Related Experiment Video

Updated: Apr 9, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps
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Choosing Local Flaps Versus Occlusive Dressings in Fingertip Amputations: A Systematic Review and Meta-Analysis With

Kasra Rahmati1, Nirbhay S Jain2, Rashed Alananzeh1

  • 1David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA; Department of Orthopedics, University of California Los Angeles, Los Angeles, CA.

The Journal of Hand Surgery
|April 8, 2026
PubMed
Summary

Local wound care for fingertip amputations is linked to fewer complications like neuromas and joint stiffness than flap reconstruction. Both methods show similar rates of nail deformities and infections.

Keywords:
Bone exposurefingertip amputationflap reconstructionocclusive dressing

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Regenerative Medicine

Background:

  • Fingertip amputations pose reconstructive challenges due to variable tissue loss and functional impact.
  • Treatment decisions often involve choosing between occlusive dressings and local flap reconstruction.

Purpose of the Study:

  • To systematically review and analyze outcomes of occlusive dressings versus local flap reconstruction for fingertip injuries.
  • To determine the benefits and risks associated with each treatment modality.

Main Methods:

  • Systematic review and meta-analysis conducted following PRISMA guidelines.
  • Included studies directly comparing occlusive dressings and local flap reconstruction for fingertip injuries.
  • Screened 220 studies, with three meeting inclusion criteria, encompassing 143 digits.

Main Results:

  • Symptomatic neuroma formation was significantly higher in the flap group (11%) compared to the dressing group (1%).
  • Joint stiffness occurred more frequently in the flap cohort (24%) than the dressing cohort (8%).
  • Nail deformities and infections were comparable between the two treatment arms.

Conclusions:

  • Flap reconstruction provides immediate closure but carries higher risks of symptomatic neuromas and joint stiffness.
  • Occlusive dressings offer a lower complication profile with comparable outcomes for nail deformities.
  • Treatment choice requires balancing rapid functional recovery against potential surgical complications.