title: Digital Tip Amputations from the Perspective of the Nail.
abstract: The management strategy proposed herein for fingertip amputations advocates secondary healing with preservation of appearance as well as function. Conservative healing is more likely to result in a sensate, nontender, and cosmetically acceptable fingertip compared to surgical management in many clinical scenarios. This manuscript examines in detail the extent of fingertip injury and defines the relationship of injury to final fingertip outcome. A classification is presented, which allows adequate initial counseling regarding prognosis, and predicts the need for secondary corrective surgery.
authors.affiliation: Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA; Arizona Center for Hand Surgery, Phoenix, AZ, USA.
authors.forename: Lloyd
authors.initials: L
authors.lastname: Champagne
authors.affiliation: Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA.
authors.forename: Joshua W
authors.identifier: 0000-0002-9110-7115
authors.initials: JW
authors.lastname: Hustedt
authors.affiliation: Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA.
authors.forename: Robert
authors.initials: R
authors.lastname: Walker
authors.affiliation: Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA.
authors.forename: John
authors.initials: J
authors.lastname: Wiebelhaus
authors.affiliation: Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA; Department of Hand and Plastic Surgery, Stavanger University Hospital, Stavanger, Norway.
authors.forename: N Ake
authors.initials: NA
authors.lastname: Nystrom