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The objective in the management of soft-tissue injuries of the hand is to achieve primary wound healing. The choice of treatment of fingertip is based on the mechanism of injury , the size of the defect, location and status of the wound injuries to other parts of the hand other factors(patient’s age, sex, general health, and occupation)
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A fingertip injury is defined as any soft tissue, nail or bony injury distal to the dorsal and volar skin creases at the distal interphalangeal joint and insertions of long flexor and extensor tendons of a finger or thumb. The fingertips are exposed to all aspects of daily living, recreation and work and it is perhaps no surprise they are the most commonly injured part of the hand
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The objective in the management of soft-tissue injuries of the hand is to achieve primary wound healing. The choice of treatment of fingertip is based on the mechanism of injury , the size of the defect, location and status of the wound injuries to other parts of the hand other factors(patient’s age, sex, general health, and occupation)
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A fingertip injury is defined as any soft tissue, nail or bony injury distal to the dorsal and volar skin creases at the distal interphalangeal joint and insertions of long flexor and extensor tendons of a finger or thumb. The fingertips are exposed to all aspects of daily living, recreation and work and it is perhaps no surprise they are the most commonly injured part of the hand
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Cardiac Output, Venous Return, and Their Regulation
Cardiac Output, Venous Return, and Their Regulation
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Cardiac Output, Venous Return, and Their Regulation
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Fingertip
1.
Soft-Tissue Injuries of
the Fingertip: Methods of Evaluation and Treatment An Algorithmic Approach 5.13.2009 R3 周邦昀
2.
3.
4.
Fingertip anatomy
5.
6.
7.
Injury geometry
8.
9.
10.
11.
12.
13.
14.
15.
16.
V-Y advancement flap
17.
18.
19.
Nail-lengthening procedure
20.
21.
Oblique triangular flap
22.
Hueston flap
23.
24.
Lateral oblique injury
geometry
25.
Lateral pulp flap
26.
27.
28.
Moberg volar advancement
flap
29.
30.
31.
First dorsal metacarpal
artery flap
32.
33.
34.
35.
18 months postoperatively
36.
37.
38.
Volar oblique traumatic
injury
39.
Cross-finger flap from
the middle finger
40.
41.
42.
43.
44.
Thanks for your
attention !
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