One-stage Integra Coverage for Fingertip Injuries

Overview

Journal Hand (N Y)

Publisher Sage Publications

Specialties General Surgery
Orthopedics

Date 2014 Jan 16

PMID 24426936

Citations 6

Authors

Sidney M Jacoby

Abdo Bachoura

Neal C Chen

Eon K Shin

Leonid I Katolik

Affiliations

Soon will be listed here.

Abstract

Background: We hypothesize that one-stage Integra skin coverage is an effective treatment modality for the treatment of fingertip defects.

Methods: Nine patients who sustained fingertip injuries were treated with one-stage Integra coverage. In all cases, Integra was placed directly on bone. Static two-point discrimination and the Semmes-Weinstein Monofilament Test (SWMFT) were used to determine the sensations of the affected and opposite unaffected digit. The QuickDASH, Cold Intolerance Symptom Severity (CISS), visual analog scale (VAS), and a 0-10-point pain scale were administered to assess patient function, satisfaction, and pain levels.

Results: The mean age was 53.1 years (39-61). There were 8 males and 1 female. The average area covered was 2.3 cm(2) (1.0-3.2). The mean follow-up duration was 16 months (8-46). The median QuickDASH, CISS score, VAS patient satisfaction, and 0-10 pain score were 9.1 (2.3-40.9), 18 (4-30), 10 (most satisfied) (7-10), and 0 (0-3), respectively. Five patients were evaluated for their digital sensory perception. The mean static two-point discrimination was 9.6 mm for the affected digit and 4.6 mm for the opposite unaffected digit. The median SWMFT was 4.31 for the affected digit and 3.61 for the opposite unaffected digit.

Conclusion: For small soft tissue and bone defects involving the fingertip, the use of Integra without further skin grafting appears to be effective, avoids the morbidity of the donor site, and avoids a second surgery. Despite mild sensory deficits, patients were satisfied with the results and fully functional during short-term follow-up.

Citing Articles

Reconstruction after Mohs Surgery for Digit Melanoma: Description of Techniques and Postoperative Limb Function.

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Reconstruction of a Pediatric Distal Phalanx Amputation With Stacked Integra Dermal Substitute: A Case Report.

Kelley N, Shaver T, Morrell N Cureus. 2024; 16(4):e58856.

PMID: 38800231 PMC: 11116031. DOI: 10.7759/cureus.58856.

Tissue-engineered Minimalistic Reconstruction of a Severely Crushed Fingertip.

Saha S J Stem Cells Regen Med. 2023; 19(1):14-18.

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Auricular Total Reconstruction with Radial Forearm Prelaminated Flap Assisted by 3D Surface Imaging and 3D Printing.

Rendon-Medina M, Hanson-Viana E, Arias-Salazar L, Rojas-Ortiz J, Mendoza-Velez M, Hernandez-Ordonez R Plast Reconstr Surg Glob Open. 2022; 10(10):e4580.

PMID: 36258684 PMC: 9561390. DOI: 10.1097/GOX.0000000000004580.

One-stage Pelnac Reconstruction in Full-thickness Skin Defects with Bone or Tendon Exposure.

Lou X, Xue H, Li G, Wang K, Zhou P, Li B Plast Reconstr Surg Glob Open. 2018; 6(3):e1709.

PMID: 29707464 PMC: 5908513. DOI: 10.1097/GOX.0000000000001709.

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