Extending the limits of
fingertip composite grafting
with moist-exposed dressing
- Author(s)
- Daegu Son; Kihwan Han; David W Chang
- Keimyung Author(s)
- Son, Dae Gu; Han, Ki Hwan
- Department
- Dept. of Plastic Surgery (성형외과학)
- Journal Title
- International Wound Journal
- Issued Date
- 2005
- Volume
- 2
- Issue
- 4
- Abstract
- We introduced the concept of moist wound healing to extend the limits of fingertip composite grafting. In this
retrospective study, we assessed the success of fingertip composite grafting with moist-exposed ointment
dressing, which has been shown to maintain adequate moisture for optimal healing by frequent ointment
application without the need for a secondary overlying dressing. We reviewed the outcome of composite graft
replacement of 60 amputated fingertips in 56 consecutive patients over a period of 3 years and 3 months. Forty-
two fingertips had survived completely and 18 had failed. Twelve of 15 fingers among patients younger than 15
years of age and 30 of 45 fingers among those 16 years of age and older had survived completely. We believe
that our use of antibiotic ointment to maintain a moist environment was an important factor in improving the
survival of composite grafts.
Key words: Composite graft . Fingertip . Moist dressing . Replantation
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