{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T05:07:39Z","timestamp":1774674459558,"version":"3.50.1"},"reference-count":15,"publisher":"World Scientific Pub Co Pte Lt","issue":"02","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Hand Surg Asian-Pac Vol"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:p>Background: Fingertip amputation injuries are common hand injuries amongst all ages. If occurring as a result of workplace accidents, these injuries has the potential to lead to significant socioeconomic costs. Non-surgical techniques can treat these injuries with the potential to alleviate the burden of these socioeconomic costs. The aim of our study is to describe an alternative, cost-effective device to manage fingertip amputation injuries, and to present our short-term outcomes with this treatment modality.<\/jats:p><jats:p>Methods: A retrospective study of patients with isolated fingertip amputation injuries who received treatment with semi-occlusive dressing and splint cap from 1 February 2018\u201321 December 2018 was conducted. The semi-occlusive dressing used was UrgoTul. The splint cap is a 3-dimensional thermoplastic splint to cover the semi-occlusive dressing of the injured finger.<\/jats:p><jats:p>Results: There were 28 patients and 31 digits. The average age was 39.9 \u00b1 12.7 years. 89.3% were male, 75% were foreign workers, 96.4% were blue-collared workers, 40% had dominant hand injuries and 25.8% had nailbed involvement. The average duration of follow-up was 66 \u00b1 37.4 days and the average duration of hospital leave was 6.5 \u00b1 4 weeks. The splint cap was applied for an average of 18.1 \u00b1 6.2 days. The total time for tissue regrowth was 27.5 \u00b1 8.8 days. 14.8% had residual nail deformities and return of sensation took 31.5 \u00b1 11 days. Grip strength was 82.5% of unaffected hand. The mean range of motion at the distal interphalangeal, proximal interphalangeal and metacarpophalangeal joint was 58.8 \u00b1 21.3\u00b0, 86.9 \u00b1 15.5\u00b0, 81.4 \u00b1 6.0\u00b0 respectively, and 63.9 \u00b1 23.6\u00b0 and 66.3 \u00b1 17.3\u00b0 at the interphalangeal and metacarpophalangeal joint of the thumb respectively. Cost analysis will be further elaborated in the paper.<\/jats:p><jats:p>Conclusions: Fingertip amputation injuries have a potential for regeneration through healing by secondary intention under semi-occlusive dressing conditions. The splint cap provides an easy to fashion, cost-efficient and comfortable addition to semi-occlusive dressings for fingertip injuries.<\/jats:p>","DOI":"10.1142\/s242483552050023x","type":"journal-article","created":{"date-parts":[[2020,4,21]],"date-time":"2020-04-21T07:59:35Z","timestamp":1587455975000},"page":"199-205","source":"Crossref","is-referenced-by-count":12,"title":["Experience with the Use of Splint Caps for the Management of Fingertip Amputation Injuries"],"prefix":"10.1142","volume":"25","author":[{"given":"Hannah Jia Hui","family":"Ng","sequence":"first","affiliation":[{"name":"Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jane","family":"Sim","sequence":"additional","affiliation":[{"name":"Department of Occupational Therapy, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vanessa Hwee Ting","family":"Tey","sequence":"additional","affiliation":[{"name":"Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sellakuddy","family":"Selvaganesh","sequence":"additional","affiliation":[{"name":"Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheyenne Kate Pueblos","family":"Rebosura","sequence":"additional","affiliation":[{"name":"Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vaikunthan","family":"Rajaratnam","sequence":"additional","affiliation":[{"name":"Hand and Reconstructive Microsurgery Service, Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, Singapore"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"219","published-online":{"date-parts":[[2020,4,20]]},"reference":[{"key":"p_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0072-968X(80)80049-0"},{"issue":"3","key":"p_2","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1016\/S0733-8627(20)30468-5","volume":"11","author":"Overton DT","year":"1993","journal-title":"Emerg Med Clin North Am."},{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1016\/j.cps.2014.04.004"},{"key":"p_5","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318248bc8c"},{"key":"p_6","doi-asserted-by":"publisher","DOI":"10.1016\/0196-6553(90)90167-Q"},{"key":"p_7","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000008224"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1007\/s11552-014-9663-5"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1590\/1413-785220182604187738"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2015.24.6.276"},{"key":"p_12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2014.09.028"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhsa.2017.01.022"},{"key":"p_14","first-page":"c05","volume":"7","author":"Schultz J","year":"2018","journal-title":"GMS Interdiscip Plast Reconstr Surg DGPW."},{"key":"p_15","doi-asserted-by":"publisher","DOI":"10.1002\/oti.165"},{"key":"p_16","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80049-7"},{"key":"p_17","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291700009934"}],"container-title":["The Journal of Hand Surgery (Asian-Pacific Volume)"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.worldscientific.com\/doi\/pdf\/10.1142\/S242483552050023X","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,3,9]],"date-time":"2021-03-09T23:42:16Z","timestamp":1615333336000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.worldscientific.com\/doi\/abs\/10.1142\/S242483552050023X"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,20]]},"references-count":15,"journal-issue":{"issue":"02","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1142\/S242483552050023X"],"URL":"https:\/\/doi.org\/10.1142\/s242483552050023x","relation":{},"ISSN":["2424-8355","2424-8363"],"issn-type":[{"value":"2424-8355","type":"print"},{"value":"2424-8363","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,20]]}}}