{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T04:16:50Z","timestamp":1787804210453,"version":"build-2784847793"},"reference-count":10,"publisher":"Medical Journals Sweden AB","license":[{"start":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T00:00:00Z","timestamp":1695772800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JPHS"],"abstract":"<jats:p>Replantation is widely regarded as the first choice of treatment for finger amputations. However, if the fingertip of a traumatic finger amputation is missing after an injury, the following procedures are often performed to reconstruct this portion: flap surgery, stump surgery, or conservative treatment, including occlusive dressings. To our knowledge, no existing English literature reports using negative-pressure wound therapy (NPWT) to treat traumatic finger amputations.\nWe postulated that NPWT may be applied as a conservative treatment for traumatic finger amputations, promoting the growth of granulation tissue and achieving early epithelialization of the fingertips.\nAmong the case series of five patients, we included six injured fingers comprising two index, two middle, and two ring fingers. The fingertip of each traumatic finger amputation was either missing or highly crushed, making replantation impossible. To preserve finger length with conservative treatment, we adapted an NPWT device for finger amputations. It took an average of 22.7 days for the fingertips to epithelialize. Immediately after epithelialization, there was a slight decrease in sensory perception; however, all patients showed good recovery of sensory perception after 3 months. Range of motion remained unrestricted, with no reduction in grip strength. Patients were highly satisfied with their fingertip appearance. The regenerated nail exhibited slight deformation and shortening. No complications were observed.\nOur novel study regarding this new conservative treatment and its outcomes revealed that healing was achieved in a relatively short period; therefore, NPWT may serve as a new conservative treatment option in the future.<\/jats:p>","DOI":"10.2340\/jphs.v58.18351","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T11:29:34Z","timestamp":1695814174000},"page":"115-118","source":"Crossref","is-referenced-by-count":4,"title":["Conservative treatment of traumatic finger amputations using negative-pressure wound therapy"],"prefix":"10.2340","volume":"58","author":[{"given":"Yasushi","family":"Mizutani","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susumu","family":"Tamai","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Toshifumi","family":"Nakamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yusuke","family":"Hagiwara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takehiko","family":"Takita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Kawamura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1183","published-online":{"date-parts":[[2023,9,27]]},"reference":[{"key":"38895","doi-asserted-by":"crossref","unstructured":"Komatsu S, Tamai S. Successful replantation of a completely cut-off thumb. Plast Reconstr Surg. 1968; 42: 374\u2013377. https:\/\/doi.org\/10.1097\/00006534-196810000-00021","DOI":"10.1097\/00006534-196810000-00021"},{"key":"38896","doi-asserted-by":"crossref","unstructured":"Lee LP, Lau PY, Chan CW. A simple and efficient treatment for fingertip injuries. J Hand Surg Br. 1995; 20: 63\u201371. https:\/\/doi.org\/10.1016\/S0266-7681(05)80019-1","DOI":"10.1016\/S0266-7681(05)80019-1"},{"key":"38897","doi-asserted-by":"crossref","unstructured":"Mennen U, Wiese A. Fingertip injuries management with semi-occlusive dressing. J Hand Surg Br. 1993; 18: 416\u2013422. https:\/\/doi.org\/10.1016\/0266-7681(93)90139-7","DOI":"10.1016\/0266-7681(93)90139-7"},{"key":"38898","doi-asserted-by":"crossref","unstructured":"Lamon RP, Cicero JJ, Frascone RJ, et al. Open treatment of fingertip amputations. Ann Emerg Med. 1983; 12: 358\u2013360. https:\/\/doi.org\/10.1016\/S0196-0644(83)80465-X","DOI":"10.1016\/S0196-0644(83)80465-X"},{"key":"38899","doi-asserted-by":"crossref","unstructured":"Tamai S. Twenty years\u2019 experience of limb replantation \u2013 review of 293 upper extremity replants. J Hand Surg Am. 1982; 7: 549\u2013556. https:\/\/doi.org\/10.1016\/S0363-5023(82)80100-7","DOI":"10.1016\/S0363-5023(82)80100-7"},{"key":"38900","doi-asserted-by":"crossref","unstructured":"Argenta LC, Morykwas MJ. Vacuum-assisted closure: a new method for wound control and treatment: clinical experience. Ann Plast Surg. 1997; 38: 563\u2013576. https:\/\/doi.org\/10.1097\/00000637-199706000-00002","DOI":"10.1097\/00000637-199706000-00002"},{"key":"38901","doi-asserted-by":"crossref","unstructured":"Rys P, Borys S, Hohendorff J, et al. NPWT in diabetic foot wounds-a systematic review and meta-analysis of observational studies. Endocrine. 2020; 68: 44\u201355. https:\/\/doi.org\/10.1007\/s12020-019-02164-9","DOI":"10.1007\/s12020-019-02164-9"},{"key":"38902","doi-asserted-by":"crossref","unstructured":"Shine J, Efanov JI, Paek L, et al. Negative pressure wound therapy as a definitive treatment for upper extremi-ty wound defects: a systematic review. Int Wound J. 2019; 16: 960\u2013967. https:\/\/doi.org\/10.1111\/iwj.13128","DOI":"10.1111\/iwj.13128"},{"key":"38903","doi-asserted-by":"crossref","unstructured":"Martin C, Gonz\u00e1lez del Pino J. Controversies in the treatment of fingertip amputations. Conservative versus surgical reconstruction. Clin Orthop Relat Res. 1998; 353: 63\u201373. https:\/\/doi.org\/10.1097\/00003086-199808000-00008","DOI":"10.1097\/00003086-199808000-00008"},{"key":"38904","doi-asserted-by":"crossref","unstructured":"Hiras\u00e9 Y, Kojima T, Matsui M. Aesthetic fingertip reconstruction with a free vascularized nail graft: a review of 60 flaps involving partial toe transfers. Plast Reconstr Surg. 1997; 99: 774\u2013784. https:\/\/doi.org\/10.1097\/00006534-199703000-00026","DOI":"10.1097\/00006534-199703000-00026"}],"container-title":["Journal of Plastic Surgery and Hand Surgery"],"original-title":[],"link":[{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/download\/18351\/23490","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/download\/18351\/23490","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T11:29:41Z","timestamp":1695814181000},"score":1,"resource":{"primary":{"URL":"https:\/\/medicaljournalssweden.se\/JPHS\/article\/view\/18351"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,27]]},"references-count":10,"URL":"https:\/\/doi.org\/10.2340\/jphs.v58.18351","relation":{},"ISSN":["2000-6764"],"issn-type":[{"value":"2000-6764","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9,27]]}}}