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Functional and Aesthetic Outcome of Fingertip Injuries' Management

Background: Fingertip injuries are the most commoninjuries that occur to the hand, accounting for 4.8 millionEmergency Department visits per year. Fingertip injuriesrequires immediate intervention to avoid any complicationsor deformities. Several therapeutic modalities have been usedfor treatment; either surgical or conservative treatment andeach of them has its own advantages and disadvantages.However, evidence is still lacking in the literature supportingeither surgical or conservative lines of treatment. The purposeof the present study is to compare functional and aestheticoutcomes between surgical and conservative treatment offingertip injuries.Methods: This prospective study included 50 patientswith Allen's type II and III of fingertip injuries divided intotwo groups; Group I included 20 patients treated surgicallyand Group II included 30 patients treated conservatively whichis further subdivided into subgroup I (Platelet Gel), subgroupII (Hyaluronic acid) and subgroup III (Fucidic acid).Results: The conservative treatment showed a significantimprovement regarding the sensory outcome, the range ofmotion, rate of complications, the aesthetic outcome and thepatients' satisfaction (p=0.002, 0.001, 0.021, 0.035, 0.026respectively). The platelet gel in the conservative treatmentshowed a significantly shorter time of healing compared toother modalities of conservative treatment (p=0.004) thus asignificant faster recovery and shorter time off-work (p=0.001).Conclusion: We concluded that the conservative treatmentprovides better functional and aesthetic outcome in treatingfingertip injuries. The use of platelet gel in fingertip injuriesis associated with decreased time of healing and early returnto work.