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Journal of Bone and Joint Surgery, 1955;37:521-548.
© 1955 by The Journal of Bone and Joint Surgery, Inc

THE CARE OF OPEN INJURIES OF THE HAND AND FINGERS WITH SPECIAL REFERENCE TO THE TREATMEN OF TRAUMATIC AMPUTATIONS

Patrick Clarkson F.R.C.S.1

1 Accident Service, Guy's Hspital, London

The most practicable and certain primary method for general use in the repair of traumatic amputation of digits is a cover by a thin split-thickness skin graft, when necessary after anterior shortening of the exposed phalanx. This free graft repair is relatively unsightly and poorly sensitized; but it is much more reliable and its performance needs less experience than a full-thickness skin-graft cover.

The best repair for these common important finger-tip injuries is one by "like" tissue,—that is, by a thenar or palmar flap. When properly executed, these flaps show no disability in the donor sites, give the best-looking stumps and the best return of sensation to them.


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