WITHDRAWN: Allen Type III Fingertip Amputation Injury: Conservative Management with Moist Wound Dressings (Case report)

Abstract

Abstract Background: Conservative care or surgery are used to treat fingertip amputation injuries. The location and extent of tissue loss in the wound, as well as the nation and region, all influence the management approaches for these injuries. In the US, conservative care or revision amputation is typical. However, in Japan, surgical methods such as replantation or reconstruction are favored; as a result, even in instances that qualify for conservative treatment, a surgery is carried out. Here, we describe a case of fingertip amputation damage for which a plastic surgeon offered reconstructive surgery; nevertheless, the patient chose conservative care, utilizing moist wound dressings. Case Report: A hefty iron door crushed the middle finger of a 30-year-old woman, resulting in an Allen type III fingertip amputation injury. There was no recovery of the severed fingertip. The patient was first advised to have reconstructive surgery by the chief plastic surgeon. Nevertheless, the patient chose conservative management, so she came to our hospital's Wound Care Department. After receiving conservative care and moist wound dressings (Plus moist TM), the wound healed in 12 weeks with excellent cosmetic and functional outcomes. Conclusions: For Allen type III fingertip amputation injuries, conservative therapy using moist wound dressings can be a beneficial therapeutic approach. It is preferable to give the patient's preferences top priority when choosing a course of treatment when the fingertip amputation damage can be managed conservatively or surgically.