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Background: In the fingertip injury, there are many reconstruction methods such as skin graft, local flap, regional flap, and free flap. These methods can be performed immediately after injury. But when reconstruction can not be performed immediately, the raw surface of the finger tip is very painful and disgusting. We tried to find new dressing method with good wound care and high patient satisfaction before the surgery. Methods: From March 2016 to June 2017, 15 patients who acquired a fingertip injury, but could not undergo emergency surgery, were enrolled. A polyurethane foam was fixed to their fingertip damaged area using 6-0 nylon. After one week the fixed foam was removed. From the next day after the foam fixation dressing, subjective pain was checked for one week at two-day intervals and recorded on a visual analog scale (VAS). The formation of granulation tissue and occurrence of infection were checked. Results: Patients’ pain gradually decreased over time. Patients’ VAS score was the largest at 7.13 on the next day after the foam fixation dressing, and decreased to 2.72 at one week when the foam was removed. All patients had granulomatous tissue and no infection. Patients were able to successfully perform the fingertip reconstruction with a planned method. Conclusion: When the patient with fingertip injury cannot be operated immediately, foam fixation dressing can be used before the planned elective surgery. This may help to reduce patient’s pain and to obtain good surgical results.

Novel Dressing Method of Fixing Polyurethane Foam on the Soft Tissue Defect of the Finger