A NEW METHOD FOR FINGER TIP AMPUTATION
Новый метод при ампутации кончика пальца
1947-01-04
SCID: 54.1/v8argfq2
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finger tip amputationnail matrix preservationphalanx tip smoothingrepair of finger amputationventral flap technic
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Abstract (AI)
A new technic for repair of finger amputation was first published in February 1944. Since that time many additional cases have come to my attention. As a result of this experience, several improvements have been effected. <h3>INDICATIONS</h3> Use of this technic is indicated: For fingers or toes in which the tips are destroyed but the nail matrix is still intact or only slightly injured. In any extremity where further shortening by a ventral flap technic is not desirable (a) because the function at that joint may be further decreased or (b) because the stump is already short for an appliance. The technic which has given the best result is as follows: The end of the crushed finger or thumb is scrubbed thoroughly with soap and water and every particle of foreign matter is removed. All devitalized tissue is excised and the tip of the phalanx smoothed. Two triangular
Key Findings
1
A new surgical technique for repair of fingertip amputations was introduced in February 1944 and subsequently refined based on additional cases.
2
Indications for the technique include: intact or slightly injured nail matrix and cases where further shortening via ventral flap is undesirable.
3
Reasons to avoid further shortening include potential decreased joint function and stumps too short for prosthetic appliances.
4
The improved technique involves thorough cleaning, removal of foreign material and devitalized tissue, and smoothing the tip of the phalanx prior to reconstruction.
Research Object
finger tip amputation injuries (fingers or toes with destroyed tips but intact or slightly injured nail matrix)
Research Subject
a surgical repair technique for fingertip amputation, including indications, debridement, phalanx smoothing, and flap-based reconstruction to preserve length and function
Publication Details
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1947-01-04
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