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Advances in Orthopedics
Volume 2016, Article ID 1967192, 6 pages
Review Article

Digital Tip Amputations from the Perspective of the Nail

1Department of Orthopedics, University of Arizona College of Medicine Phoenix, Phoenix, AZ, USA
2Arizona Center for Hand Surgery, Phoenix, AZ, USA
3Department of Hand and Plastic Surgery, Stavanger University Hospital, Stavanger, Norway

Received 31 July 2016; Accepted 14 September 2016

Academic Editor: Allen L. Carl

Copyright © 2016 Lloyd Champagne et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The management strategy proposed herein for fingertip amputations advocates secondary healing with preservation of appearance as well as function. Conservative healing is more likely to result in a sensate, nontender, and cosmetically acceptable fingertip compared to surgical management in many clinical scenarios. This manuscript examines in detail the extent of fingertip injury and defines the relationship of injury to final fingertip outcome. A classification is presented, which allows adequate initial counseling regarding prognosis, and predicts the need for secondary corrective surgery.