Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment

Abstract

Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.