Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science




June Sullivan DMSc, PA-C


Fingertip amputations are a common injury presenting to urgent care facilities and emergency rooms around the country. These injuries are traditionally treated with revision amputation and primary closure often requiring transfer to facilities with specialized equipment, training, and orthopedic specialists. However, many of these injuries may be managed successfully with conservative treatment using occlusive or semi-occlusive dressings which are widely available. Studies have shown that conservative treatment provides equal to better clinical results with fewer adverse effects when compared to revision amputation and closure. Yet, these treatments are not regularly utilized by providers due to a lack of knowledge and fear of complications. By treating patients with fingertip amputations conservatively, providers can provide definitive care to the patient, lower treatment costs, and reduce the burden on tertiary care facilities.

Keywords: Fingertip amputation; Partial Digit Amputation; Conservative treatment;

Semi-occlusive dressing; Occlusive dressing.


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