Finger tip injuries--a prospective study on seven methods of treatment on 200 cases.

7 common methods of treatment were selected at random for 200 cases of finger tip injuries. The methods included split skin grafting, full-thickness skin grafting, volar V-Y advancement, Kutler's bilateral V-Y advancement, revision amputation, cross-finger flap and simple dressing. These cases were seen weekly until healing was completed and then at 3 and 6 months. A proper functional assessment was given to each case at the last visit. The results were analysed along the parameters of wound healing, appearance, scar condition, sensory return, finger joint movements, motor-power and sick-leave benefits. The best results were obtained from the volar V-Y advancement method. Results were most unfavourable when cross-finger flaps were used. This latter method, therefore, was condemned. Simple dressing gave excellent results if one disregarded the lengthy period of wound healing, a somewhat tender scar and possible beaking of the nails. The other methods gave satisfactory results but had no outstanding advantage.