Abstract

Fingertip amputation is one of the most common industrial injuries and preservation of finger function, as much as possible, is very important for the affected patients. A thorough review of the most common treatment options for this type of lesion was more than necessary. All treatment modalities must restore the sensory function of fingertip, stable and durable skin and maximum support for nail bed (1). Fingertip injuries are classified into three anatomical zones: a) Zone 1, lesions are located distal to the distal phalanx, with preservation of most of the nail bed and matrix, while the majority of these lesions are treated conservatively; b) Zone 2, lesions are distal to the lunula and the distal phalanx is typically exposed. The best treatment modality for these types of injuries is flap coverage. The anatomical plane of amputation may be dorsal (oblique), transverse or volar; c) Zone 3, injuries pass through the germinal matrix and are not good candidates for reconstruction, requiring direct stump closure.

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