Abstract

Fingertip is the most important part of the finger. It has been described by Moberg as an organ of sensibility or the third eye. Injuries of the fingertips are very frequent as a result of industrial and domestic accidents which can result in permanent disability. We provide our experience about the indications, surgical technique and outcome of subcutaneous pulp flap in management of fingertip.

Highlights

  • The hand is a highly sensitive prehensile organ in which stability and great strength are provided within very small volume [1].The fingertip is a highly specialized end-organ that is adapted for touch

  • The goal of surgical management of the fingertip injuries is to provide near normal sensation, non-tender fingertip, maximum length, good nail appearance and support, normal movement and best cosmetic results [4]

  • We provide our experience about the indications, surgical technique and outcome of subcutaneous pulp flap in management of fingertip injuries in a Major Trauma Centre

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Summary

Introduction

The hand is a highly sensitive prehensile organ in which stability and great strength are provided within very small volume [1]. The fingertip is a highly specialized end-organ that is adapted for touch. It is richly supplied with special sensory receptors that enable the hand to "see" by relaying the shape, texture and temperature of manipulate objects [2]. The goal of surgical management of the fingertip injuries is to provide near normal sensation, non-tender fingertip, maximum length, good nail appearance and support, normal movement and best cosmetic results [4]. Many factors affect choice of surgical options such as the patient’s age, sex, occupation, functional demands, the defect topography, the affected finger, injuries to the other digits and the potential need for post-operative rehabilitation

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