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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo) 2022; 57(01): 108-112
DOI: 10.1055/s-0041-1735944
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Comparative Analysis of a Modified Secondary Healing Protocol for Fingertip Amputations and Non-microsurgical Reconstruction Techniques[*]

Article in several languages: português | English
Carlos Rubén Chavez-Galvan 
1   Departamento de Cirurgia Ortopédica e Traumatologia, Centenario Hospital Miguel Hidalgo, Aguascalientes, Aguascalientes, México
,
Ricardo Martínez-Pérez 
1   Departamento de Cirurgia Ortopédica e Traumatologia, Centenario Hospital Miguel Hidalgo, Aguascalientes, Aguascalientes, México
,
Efrén Flores-Alvarez 
2   Departamento de Cirurgia Geral, Centenario Hospital Miguel Hidalgo, Aguascalientes, México
,
Armando Martínez-Pérez 
3   Residente, Departamento de Ensino, Instituto Mexicano del Seguro Social, Universidad de Guadalajara, Puerto Vallarta, Jalisco, Mexico
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Abstract

Objective To describe and compare the results obtained with a secondary healing protocol for fingertip amputations and their relationship to injury severity according to the Allen classification.

Methods Medical records of 127 fingertip injuries were revised, and a retrospective, comparative, analytical study the amputations treated conservatively was performed. Injury characteristics, healing time, and complications were described and analyzed.

Results Between April 2017 and May 2019, 127 fingertip injuries were treated conservatively. The average age of the sample was of 28.33 years. The average healing time was of 4.31 weeks. The complications during the follow-up were observed in 18.9% (n = 24) of the cases, but none require revision treatment. A statistically significant relationship between the development of complications and treatment revision according to the Allen classification was not found (p ≥ 0.05).

Conclusion The proposed secondary healing protocol has shown to be safe and effective in types 1 to 3 fingertip amputations in the Allen classification, and it should be included as a therapeutic option even in injuries of greater extension than those that have traditionally been limited to.

Keywords

finger injuries - amputation - hand injuries - wound healing

* Work developed at Centenario Hospital Miguel Hidalgo, Benemérita Universidad Autónoma de Aguascalientes, Mexico.




Publication History

Received: 16 May 2020

Accepted: 18 May 2021

Article published online:
25 October 2021

© 2021. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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