Abstract IN THE highly mechanized industry of today amputation of the finger tip is a relatively frequent injury. In its physical extent it is a minor injury, but for the patient it is rather serious. This disability usually prevents him from performing his regular job for a month or more, occasionally forces him to change his job, and frequently leaves him with a painful and useless finger stump. The literature on this subject is rather meager.1 Most of the articles discuss and describe the three main types of treatment, but almost none of them evaluate the results. In most of the articles the statement is made, without qualification, that length must be preserved at all costs. Because of its nobility of purpose, this statement is rarely challenged. It should be challenged, however, for the preservation of a centimeter or two of finger length which may terminate in a painful and References 1. Gillies, H.: Autograft of Amputated Digit: Suggested Operation , Lancet 1:1002-1003 ( (June) ) 1940.Crossref 2. Gordon, S.: Autograft of Amputated Thumb , Lancet 2:823 ( (Dec.) ) 1944.Crossref 3. Horn, J. S.: The Use of Full Thickness Hand Skin Flaps in the Reconstruction of Injured Fingers , Plast. & Reconstruct. Surg. 7:463-481 ( (June) ) 1951. 4. Jones, R. A.: Method for Closing Traumatic Defect of Finger Tip , Am. J. Surg. 55:326-338 ( (Feb.) ) 1942. 5. Kallio, K. E.: Plastic Operations on Thumb , Acta chir. scandinav. 93:231-253 ( (April) ) 1946. 6. McCarroll, H. R.: Immediate Application of Free Full-Thickness Skin Graft for Traumatic Amputation of Finger , J. Bone & Joint Surg. 26:489-494 ( (July) ) 1944. 7. Murray, A. R.: Reconstructive Surgery of Hand, with Special Reference to Digital Transplantation , Brit. J. Surg. 34:131-140 ( (Oct.) ) 1946. 8. Read, F. L., and Haslam, E. T.: Immediate Skin Grafts on Finger Injuries , U. S. Nav. M. Bull. 42:183-186 ( (Jan.) ) 1944. 9. Webster, G. V.: Treatment of Finger Tip Amputation , Postgrad. Med. 8:416-419 ( (Nov.) ) 1950. 10. Zadik, F. R.: Immediate Skin Grafting for Traumatic Amputation of Finger-Tips , Lancet 1:335-336 ( (March) ) 1943.
A.M.A. Archives Surgery – American Medical Association
Published: Sep 1, 1952
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