Lamon R P, Cicero J J, Frascone R J, Hass W F
Ann Emerg Med. 1983 Jun;12(6):358-60. doi: 10.1016/s0196-0644(83)80465-x.
Twenty-five patients with fingertip injuries at or distal to the distal interphalangeal joint were treated with a thorough cleansing of the wound with application of bacitracin and a sterile dressing. Warm soaks were begun 48 hours after injury. Crush injury was the most common type of trauma, followed by cutting injuries. Bone involvement was present in six cases. The average healing time was 29 days. At the time of complete healing, sensation was normal in 22 patients (88%). Systemic antibiotics were not administered routinely. No patient developed a wound infection. Our study documents that fingertip amputations can be successfully treated by nonoperative methods that result in preservation of finger length and contour, retention of sensation, and healing without infection.
25例远侧指间关节或其以远的指尖损伤患者接受了治疗，伤口经彻底清创，应用杆菌肽并进行无菌包扎。受伤48小时后开始温水浸泡。挤压伤是最常见的创伤类型，其次是切割伤。6例有骨质受累。平均愈合时间为29天。完全愈合时，22例患者（88%）感觉正常。未常规使用全身性抗生素。无患者发生伤口感染。我们的研究证明，指尖离断可以通过非手术方法成功治疗，从而保留手指长度和外形、保留感觉且愈合无感染。
