ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2023
Semi-occlusive dressing therapy versus surgical treatment in fingertip amputation injuries: a clinical study.
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Long-term functional outcome after conservative management of a fingertip amputation with exposed bone, using a semi-occlusive dressing: a case report.International journal of surgery case reports · 2026Article
- Occlusive dressings for fingertip amputations: Clinical outcomes, pulp regeneration, and dermatoglyphic recovery.JPRAS open · 2026Article
- The Forgotten Healer: The Role of Adipose Tissue in Spontaneous Healing After Free Flap Finger Reconstruction.Journal of personalized medicine · 2026Article
- Digital Infrared Thermographic Imaging for Limb Salvage in Patients at Risk of Amputation: Prospective Observational Study.JMIR formative research · 2025Observational
- Semi-occlusive dressings for the management of fingertip amputations: A systematic review.Journal of hand and microsurgery · 2025Review
- Replantation of digit-tip amputation caused by crush injuries with supermicrosurgery technique.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- Advancing Fingertip Regeneration: Outcomes from a New Conservative Treatment Protocol.Journal of clinical medicine · 2024Article
- Biomechanical analysis of helical versus straight plating of proximal third humeral shaft fractures.Archives of orthopaedic and trauma surgery · 2023Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesTreatment of fingertip amputations is subject of controversial debates. Recently, semi-occlusive dressings have increased in popularity in these injuries.
aimsTo compare clinical outcomes of conservative semi-occlusive dressing therapy versus surgical treatment of fingertip amputations.
methodsEighty-four patients with fingertip amputations were re-examined clinically after a mean follow-up of 28.1 months (range 9.6-46.2). Sixty-six patients (79%) were treated with semi-occlusive dressings (group 1) and 18 (21%) underwent surgery (group 2). Range of motion, grip strength, and two-point discrimination were measured at the final follow-up. Furthermore, VAS score, Quick-DASH score, subjective aesthetic outcome and loss of working days were obtained.
resultsGroup 1 demonstrated healing in all 66 patients (100%) while in Group 2 5 out of 18 patients (28%) failed to achieve healing after a mean of 17 days (range 2-38) due to graft necrosis. Group 1 showed significantly lower VAS scores and significantly lower loss of two-point discrimination compared to Group 2. Work absence was significantly shorter in Group 1 versus Group 2. Trophic changes in finger (46%) and nail (30%) were significantly lower in Group 1 compared to Group 2 (44% and 70%, respectively). Disturbance during daily business activities (14%) and cold sensitivity (23%) were significantly lower in Group 1 compared to Group 2 (86% and 77%, respectively).
conclusionsSemi-occlusive dressing therapy for fingertip amputations demonstrated excellent healing rates. Compared to surgical treatment, it resulted in significantly better clinical outcomes, lower complication rates and significantly higher reported satisfaction rates. Therefore, semi-occlusive dressing for fingertip injuries is a very successful procedure and shall be preferred over surgical treatment in most cases. LEVEL OF EVIDENCE: III therapeutic.
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