Management of finger lacerations: a simple approach
If you have ever worried about the way you approach minor surgical procedures, then this article is for you. Ahid Abood and David Floyd give practical advice to help you improve the management of finger lacerations.
Finger lacerations, particularly to the tips of digits, are a common problem and have a range of causes. Partial amputation injuries affecting the nail complex are parti-cularly common in children after they have caught their fingers in closing doors. Adults also injure their fingers in this way and when using industrial machinery, power tools, and other equipment. Appropriate management of finger injuries is vital to ensure optimal recovery of function. Much has been written about individual aspects of their management, but there is little on a straightforward approach that doesn't get caught up in the details and controversies of individual steps.1
The first thing you should do is make sure that the patient's tetanus status is up to date and that they have been given adequate analgesia.
The management of finger lacerations and injuries is often time consuming and demands cooperation and compliance from the patient. We hope that this