Hand Trauma
A 35-year-old carpenter presents with a clean guillotine amputation of his dominant index fingertip at the level of the distal phalanx, just proximal to the lunula. The amputated part was recovered. He is anxious to return to work and maintain finger function. There is exposed bone at the amputation site with a 1.5cm soft tissue defect. Regarding fingertip injuries and reconstruction:
Mark each as TRUE or FALSE
Fingertip injuries are classified by level (Allen classification) and geometry (transverse, dorsal o...
Conservative management (healing by secondary intention) is appropriate for defects less than 1cm wi...
All fingertip injuries require flap coverage; secondary intention never works; replantation should b...
Local flap options include V-Y advancement (Atasoy for transverse/volar defects, Kutler for lateral ...
Principles of reconstruction include preserving length (especially thumb), maintaining sensation (vo...
Answer the questions to see explanations
Click T (True) or F (False) for each option