Kotkansalo Tero
TYKS, ortopedian ja traumatologian klinikka.
Duodecim. 2012;128(4):399-407.
Hands are used to interpret and shape the environment. The highly specialized structures of the fingertip enable tasks requiring precision, strength and endurance. Therefore injuries on fingertips have an effect to the entire hand. Thorough study of medical history and clinical examination are required to determine the correct treatment. The goal is to restore the function of the fingertip as well as possible. A good fingertip is pain free, has adequate sensation and is stable. As well as being aesthetically important, the nail adds to the stability and precision of the distal fingertip. Therefore, the structures of the nail should be repaired when possible. Different treatment options of the fingertip injuries range from conservative to operative, including flaps from adjacent areas. In selected cases, reattachment of an amputated fingertip yields best results.
手用于诠释和塑造环境。指尖的高度专业化结构使得完成需要精准度、力量和耐力的任务成为可能。因此，指尖受伤会影响整个手部。需要对病史进行全面研究并进行临床检查，以确定正确的治疗方法。目标是尽可能恢复指尖的功能。一个良好的指尖应无痛、感觉充分且稳定。指甲不仅在美学上很重要，还增加了指尖远端的稳定性和精准度。因此，应尽可能修复指甲结构。指尖损伤的不同治疗选择从保守治疗到手术治疗，包括取自相邻区域的皮瓣。在特定情况下，断指再植能产生最佳效果。
