Figueiredo Leandro Azevedo de, Ribeiro Rafael de Souza, Melo Antonio Leão Bandeira de, Lima André Luiz, Terra Bernardo Barcellos, Ventim Fernando Carvalho
Santa Casa de Misericórdia de Vitória, Departamento de Ortopedia e Traumatologia, Vitória, ES, Brazil.
Rev Bras Ortop. 2017 Oct 26;52(6):685-692. doi: 10.1016/j.rboe.2016.10.017. eCollection 2017 Nov-Dec.
Report the results of treatment of fingertip injuries and describe this reproducible and low cost surgical technique, which utilizes a polypropylene prosthesis that temporarily replaces the nail and is placed on the area of injury, providing protection and encouragement for healing by secondary intention.
This study evaluated 22 patients with traumatic injuries of the fingertips in the period from January 2012 to December 2015. All procedures were performed by the same surgeon. The mean postoperative follow-up was 13 months, with a minimum follow-up of six months. For all statistical inferences, a -value of 0.05 was considered. The software used was SPSS version 21.0 for Windows.
There were no cases of complications related to the polypropylene device. There was no significant difference between static two-point discrimination and age, between discrimination and time between injury and surgery, or between discrimination and time to follow-up. The authors used a table of scores that includes three factors proposed by Jefferson for a better evaluation of the results. 72.7% (16 cases) of patients had good results, 22.7% (five cases) fair results, and only 4.5% (one case) poor result.
This study presented a new technique for finger tip lesions, simple and easily reproducible, with satisfactory results and low complication rates.
报告指尖损伤的治疗结果，并描述这种可重复且低成本的手术技术，该技术利用聚丙烯假体临时替代指甲并放置在损伤区域，通过二期愈合为伤口提供保护并促进愈合。
本研究评估了2012年1月至2015年12月期间22例指尖创伤患者。所有手术均由同一位外科医生进行。术后平均随访13个月，最短随访6个月。所有统计推断均采用0.05的α值。使用的软件为适用于Windows的SPSS 21.0版。
未出现与聚丙烯装置相关的并发症病例。静态两点辨别觉与年龄、辨别觉与受伤至手术的时间、辨别觉与随访时间之间均无显著差异。作者使用了一个评分表，其中包括杰斐逊提出的三个因素，以便更好地评估结果。72.7%（16例）患者结果良好，22.7%（5例）结果尚可，仅有4.5%（1例）结果较差。
本研究提出了一种用于指尖损伤的新技术，简单且易于重复，结果令人满意，并发症发生率低。
