Treatment and Outcomes of Fingertip Injuries at a Large Metropolitan Public Hospital

Weichman KE, Wilson SC, Samra F, et al (New York Univ Langone Med Ctr; Univ of Pennsylvania Hosp, Philadelphia) Plast Reconstr Surg 131:107-112, 2013^§

Abstract

Background

Fingertip injuries are the most common hand injuries presenting for acute care. Treatment algorithms have been described based on defect size, bone exposure, and injury geometry. The authors hypothesized that despite accepted algorithms, many fingertip injuries can be treated conservatively.

Methods

A prospectively collected retrospective review of all fingertip injuries presenting to Bellevue Hospital between January and May of 2011 was conducted. Patients were entered into an electronic database on presentation. Follow-up care was tracked through the electronic medical record. Patients lost to follow-up were questioned by means of telephone. Patients were analyzed based on age, mechanism of injury, handedness, occupation, wound geometry, defect size, bone exposure, emergency room procedures performed, need for surgical intervention, and outcome.

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