Fig.2. Avulsion fractures of the distal phalanx of the right index, long, and ring finger tips with injuries to the injured parts precluding microvascular reattachment.
Allen Type IV finger fingertip amputations of the right index, long and ring fingertips.
As fingertip injuries are amongst the most common hand injuries, these injuries are most often treated by a hand surgeon. Newer topical healing methods such as use of Extracellular Matrix wound care dressings (e.g.- UBM-ECM) is desirous as they promote M-2 vs. standard M-1 macrophage directed wound healing.
Alternate day application of 20 mg. UBM-ECM powder was applied to each fingertip with hydrogel applied on top of a petroleum impregnated gauze to maintain a moist environment.
The patient had stable healing and was able to resume his prior employment after 4 months.