Articles Vol. 65 No. CĐ 12 - Bệnh viện Thủ Đức 12/12/2024

1. EVALUATION OF TREATMENT OUTCOMES FOR FINGERTIP AMPUTATIONS USING OCCLUSIVE DRESSING METHOD AT THU DUC CITY HOSPITAL

Nguyen Duy Tai1,2, Le Hoang Van Hai1,2, Nguyen Xuan Dung1,2, Nguyen Pham Phan Vu1,2, Nguyen Vinh Thong1,2
1 Thu Duc City Hospital
2 Bệnh viện Thành phố Thủ Đức
Corresponding author: doctornguyenduytai@gmail.com
DOI: 10.52163/yhc.v65iCD12.1810
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Keywords
Fingertip amputation occlusive dressing method
Abstract

Objective: To evaluate the treatment outcomes of fingertip amputations using the occlusive dressing method at Thu Duc City Hospital.
Research Method: Descriptive case series. A total of 26 cases with 31 fingertip amputations were successfully treated and included in the study; 9 cases were excluded due to insufficient information, and 10 cases dropped out of treatment.

Conclusion: The median wound healing time was 6 weeks, with a median two-point discrimination test value of 4mm. All cases achieved full re-epithelialization. The median additional nail bed length was 3mm. The nail bed length growth in P3 and P4 groups was statistically significantly greater than in P6 and P7 groups (p = 0.008). Similarly, nail bed length growth in N5 and N6 groups was statistically significantly greater than in other types (p = 0.025). 90% of cases had functional recovery according to the DASH score, allowing them to resume work after 3 months of treatment. Patients with B8 fingertip bone injuries were statistically significantly less likely to recover hand function compared to other types (p = 0.018).

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