抄録
There are various remedies for finger tip injury including replantation by microsurgery, as well as various flaps and a conservative treatment using aluminium foil. We attempted to treat such iujuries in a number of patients using artificial dermis and obtained good results. This paper reports our experience.
The subjects were 10 patients (11 fingers). According to the classfication of Allen, one finger was were type II, eight fingers were type III and two fingers were type IV.
The artificial dermis used was Terudermis made by Terumo Co. Under local anesthetic, the cut cross-section was covered with artificial dermis and the silicon film was removed at around four weeks after operation. Then we waited for the wound to heal. The wound was disinfected twice a week on an outpatient basis.
In all cases, the injury at the cut cross-secton was healed. The average healing period was 49.6 days. The recovery of sensation in the finger tip was good and the restriction of movement of the DIP joint was slight, so the results were satisfactory.
