[Observations and experiments with finger injuries caused by axes].
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Injuries of the fingertips are often but not always of a simple, easily healing kind. If there are complications they are induced by the severity of the trauma itself or because the patient himself or the physician treating the injury is misjudging its severity. This leads to an inadequate therapy, which may very well be the cause of a dramatic development, ending in loss of function of the injured hand if it comes to the worst. By the means of some selected examples the pitfalls in the treatment of fingertip injuries shall be pointed out.
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More than thirty years after its description, the cross finger flap is still widely in use. Its main technical data are reviewed. The follow-up show that this procedure remains indicated in deep losses of substance of the palmar aspect of the basal or middle phalanx. Its use on the terminal phalanx remains controversial, but it is still useful when elaborated microsurgical procedures are contraindicated or not available.