title: Fingertip and Thumb Tip Wounds: Changing Algorithms for Sensation, Aesthetics, and Function.
abstract: Management of fingertip and thumb tip injuries has recently undergone substantial changes. The time-proven traditional armamentarium of local flaps has been expanded and replaced by a wide variety of flaps. Simultaneous with the development of new flaps, the conservative treatment of fingertip and thumb tip injuries with semiocclusive dressings has also become a more acceptable treatment for these injuries. The excellent results with respect to restoring contour, sensibility of the pulp, and aesthetics of the finger justify this more tedious and time-consuming treatment of fingertip and thumb tip injuries. This article gives an update of the most commonly used flaps and the semiocclusive dressing treatments of fingertip and thumb tip injuries.
authors.affiliation: Ethianum for Clinic Plastic, Hand and Reconstructive Surgery, University of Heidelberg, Heidelberg, Germany. Electronic address: guenter.germann@urz.uni-heidelberg.de.
authors.forename: Günter
authors.initials: G
authors.lastname: Germann
authors.affiliation: Ethianum for Clinic Plastic, Hand and Reconstructive Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: Klaus D
authors.initials: KD
authors.lastname: Rudolf
authors.affiliation: Ethianum for Clinic Plastic, Hand and Reconstructive Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: Scott L
authors.initials: SL
authors.lastname: Levin
authors.affiliation: Ethianum for Clinic Plastic, Hand and Reconstructive Surgery, University of Heidelberg, Heidelberg, Germany.
authors.forename: Manuel
authors.initials: M
authors.lastname: Hrabowski
mesh_terms: D000465:Algorithms; D003646:Debridement; D004954:Esthetics; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D009779:Occlusive Dressings; D019651:Plastic Surgery Procedures / Q000379:methods*; D020127:Recovery of Function; D012677:Sensation; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000601:surgery; D013933:Thumb / Q000293:injuries / Q000601:surgery
keywords: Finger; tip injuries; treatment concepts