{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T09:11:43Z","timestamp":1790154703779,"version":"4.0.1"},"reference-count":17,"publisher":"MDPI AG","issue":"19","license":[{"start":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T00:00:00Z","timestamp":1790121600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["RS-2025-16070010"],"award-info":[{"award-number":["RS-2025-16070010"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]},{"award":["RS-2025-16070010"],"award-info":[{"award-number":["RS-2025-16070010"]}],"id":[{"id":"https:\/\/ror.org\/013aysd81","id-type":"ROR","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Med.","JCM"],"abstract":"<jats:p>Background\/Objectives: Local flap coverage is still widely regarded as the treatment of choice for Allen type III fingertip injuries, and outcome data for conservative treatment remain limited. We evaluated the outcomes of semi-occlusive dressing for Allen type III fingertip injuries with bone exposure. Methods: This retrospective single-centre case series included 15 patients with 17 digits sustaining Allen type III fingertip injuries with exposed bone treated with semi-occlusive dressing. Allen type I or II injuries, isolated pulp defects, infection-related tissue loss and incomplete follow-up were excluded. Finger and thumb motion were assessed as total active motion and interphalangeal joint motion, respectively, as a percentage of the contralateral digit. Sensation was assessed using two-point discrimination, Semmes\u2013Weinstein monofilament testing and a subjective contralateral percentage scale. Results: All 17 digits healed at a mean of 36 days (range 21\u201360), with a mean follow-up of 25 months (range 12\u201363). No additional surgery or major complications occurred. Nail deformity developed in four of the 17 digits (24%). Among the 14 fingers, total active motion averaged 95% of the contralateral side (range 80\u2013100) and ten regained full motion; the three thumbs regained mean interphalangeal joint motion of 80% (range 50\u2013100). The mean two-point discrimination was 6 mm, the median Semmes\u2013Weinstein value was 2.83 and the mean subjective sensation was 84%. Conclusions: In Allen type III fingertip injuries with bone exposure, semi-occlusive dressing achieved reliable healing with satisfactory functional and sensory recovery and may be a useful alternative or adjunct to surgical reconstruction.<\/jats:p>","DOI":"10.3390\/jcm15197372","type":"journal-article","created":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:14:39Z","timestamp":1790151279000},"page":"7372","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Outcomes of Semi-Occlusive Dressing for Allen Type III Fingertip Injuries"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5566-0642","authenticated-orcid":false,"given":"Jinsik","family":"Park","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri 11923, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9074-1766","authenticated-orcid":false,"given":"In Cheul","family":"Choi","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul 02841, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"}]},{"given":"Chanmo","family":"Jeong","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul 04763, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"investigation","vocabulary":"credit"},{"role":"data-curation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"given":"Young Seok","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University Guri Hospital, Guri 11923, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4330-7726","authenticated-orcid":false,"given":"Chang-Hun","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Hanyang University College of Medicine, Seoul 04763, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"supervision","vocabulary":"credit"},{"role":"project-administration","vocabulary":"credit"},{"role":"funding-acquisition","vocabulary":"credit"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,23]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"105e","DOI":"10.1097\/PRS.0b013e3181823be0","article-title":"Soft-tissue injuries of the fingertip: Methods of evaluation and treatment. 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Rehabil."}],"container-title":["Journal of Clinical Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7372\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T08:55:18Z","timestamp":1790153718000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2077-0383\/15\/19\/7372"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,23]]},"references-count":17,"journal-issue":{"issue":"19","published-online":{"date-parts":[[2026,10]]}},"alternative-id":["jcm15197372"],"URL":"https:\/\/doi.org\/10.3390\/jcm15197372","relation":{},"ISSN":["2077-0383"],"issn-type":[{"value":"2077-0383","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,23]]}}}