Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/103158
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Non-operative management of fingertip injuries with an intravenous dressing
Author: Ha, N.
Chang, A.
Sullivan, J.
Leonello, D.
Citation: Journal of Wound Care, 2015; 24(6):276-279
Publisher: MA Healthcare Limited
Issue Date: 2015
ISSN: 0969-0700
2052-2916
Statement of
Responsibility: 
N.B. Ha, A.C. Chang, J.S. Sullivan, D.T. Leonello
Abstract: Objective: The optimal management of fingertip injuries is a much debated topic. Surgical and nonsurgical options, including treatment with dressings alone, have comparable results. IV3000 is a semiocclusive dressing with a high reactive moisture vapour transmission rate (MVTR) compared to its alternatives. As the fingertip is crucial to hand function, determining the optimal dressing to treat these injuries is of clinical importance. The aim of this study is to collect preliminary data on the IV dressing when used to treat fingertip injuries. l Method: Patients were recruited from the department of orthopaedic surgery outpatient clinic. Inclusion criteria were a fingertip injury with skin loss and emergency department treatment consistent with the study protocol, including washing the fingertip, simple debridement as required, administration of antibiotics, tetanus prophylaxis, and fingertip dressed with the IV dressing. l Results: Fingertip injuries (15) from 13 male patients were identified. With the exception of one, all injuries were treated with the IV dressing and were included in the analysis. The treatment outcome of 13 injuries was rated as ‘satisfactory’ by the patients, while one was rated ‘indifferent’. The latter was on one of two patients with injuries to two digits. No patient reported their outcome as ‘unsatisfactory’. At the 18–24 months’ follow-up, seven of the 14 affected digits had some degree of hypersensitivity, eight regained normal pulp thicknesses, one had thickened padding, and five had reduced pulp volume. All but one patient reported some degree of numbness. Nail involvement was seen in 11 injuries, all of which continued to have some degree of nail deformity. l Conclusion: The IV dressing provides satisfactory outcomes when used to treat fingertip injuries. As the dressing possesses properties that suggest it would result in a superior healing environment compared to other semi-occlusive dressings, a prospective, randomised control trial should be conducted to determine whether these properties translate into superior outcomes when used to treat fingertip injuries. l Declaration of interest: All authors declare that they have no conflicts of interest to disclose. No author has any personal or professional interest in the product being investigated in this study.
Keywords: Humans
Finger Injuries
Treatment Outcome
Prospective Studies
Occlusive Dressings
Wound Healing
Adult
Aged
Middle Aged
Male
Endovascular Procedures
Rights: © MA Healthcare Ltd.
DOI: 10.12968/jowc.2015.24.6.276
Appears in Collections:Aurora harvest 3
Medicine publications

Files in This Item:
There are no files associated with this item.


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.