Martin C, González del Pino J
North Alabama Bone and Joint Clinic, Muscle Shoals, AL, USA.
Clin Orthop Relat Res. 1998 Aug(353):63-73. doi: 10.1097/00003086-199808000-00008.
Fingertip amputations are the most common type of amputation injury in the upper extremity. These injuries are either seen in the emergency room or in an office setting. These lesions are very frequent and require precise wound care for optimal results. The longer finger and the thumb, being the most distal and independent mobile parts of the hand are affected very often by these kind of injuries. Treatment of fingertip injuries is a continuous focus of controversy among hand and orthopaedic surgeons. Different treatment options have been described, depending on the affected segment and finger, type of lesion, gender and age of the patient, location, size, and depth of the defect. The indications, advantages, and disadvantages of several reconstructive procedures for fingertip injuries have been described. The techniques themselves are not described in detail.
指尖离断是上肢最常见的断肢损伤类型。这些损伤多见于急诊室或门诊环境。此类损伤非常常见，需要精确的伤口护理以获得最佳效果。最长的手指和拇指作为手部最远端且最独立的可活动部位，经常受到这类损伤的影响。指尖损伤的治疗一直是手外科和骨科医生争论的焦点。根据受影响的节段和手指、损伤类型、患者的性别和年龄、缺损的位置、大小和深度，已经描述了不同的治疗选择。已经描述了几种指尖损伤重建手术的适应症、优点和缺点。但未详细描述技术本身。
