{"title":"Successful Delayed Amputated Split-Thickness Dermis Reattachment of a Fingertip Injury in the Home Setting without Sutures.","authors":"M Waterstone, S Keogh, E J Kelly","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Presentation: </strong>This case reports details a fingertip amputation injury. The patient was vitally stable post-injury and blood loss was controlled with direct pressure.</p><p><strong>Diagnosis: </strong>The injury was inspected and found to involve the finger pulp and nailbed, without exposure of the terminal phalanx (Allen 2).</p><p><strong>Treatment: </strong>The avulsed tissue was initially placed in situ at the site of the injury. At day 3 the viable dermis from the avulsed tissue was dissected away and a split-thickness dermal graft was performed. The graft was held in place with antibacterial dressings. Epithelialisation was complete at two weeks, sensation returned to normal at five months and progress was tracked with interval photography. Overall there was an excellent cosmetic and functional outcome.</p><p><strong>Discussion: </strong>Split-thickness grafting of the dermis has been previously described, but there are no reports of this technique being applied to fingertip injuries. De-epithelialisation may enhance the likelihood of graft survival when compared to composite grafting techniques.</p>","PeriodicalId":14713,"journal":{"name":"Irish medical journal","volume":"117 8","pages":"1015"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Irish medical journal","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"Medicine","Score":null,"Total":0}
引用次数: 0
Abstract
Presentation: This case reports details a fingertip amputation injury. The patient was vitally stable post-injury and blood loss was controlled with direct pressure.
Diagnosis: The injury was inspected and found to involve the finger pulp and nailbed, without exposure of the terminal phalanx (Allen 2).
Treatment: The avulsed tissue was initially placed in situ at the site of the injury. At day 3 the viable dermis from the avulsed tissue was dissected away and a split-thickness dermal graft was performed. The graft was held in place with antibacterial dressings. Epithelialisation was complete at two weeks, sensation returned to normal at five months and progress was tracked with interval photography. Overall there was an excellent cosmetic and functional outcome.
Discussion: Split-thickness grafting of the dermis has been previously described, but there are no reports of this technique being applied to fingertip injuries. De-epithelialisation may enhance the likelihood of graft survival when compared to composite grafting techniques.
期刊介绍：
Since its inception in 1867, the Journal of the Medical Association of Ireland and now in its present format, the Irish Medical Journal, has provided the medical community in Ireland with an invaluable service. As one of the leading biomedical publications in Ireland, it has sought to continue the education of medical students and postgraduates through scientific research, review articles and updates on contemporary clinical practices while providing an ongoing forum for medical debate. A measure of our stature is that we are listed in the Index Medicus and issued annually with a citation factor from the Institute for Scientific Information.
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