par Cuylits, Nicolas ;Benhadou, Farida ;Del Marmol, Véronique
Référence Skin Necrosis, Springer-Verlag Vienna, page (173-178)
Publication Publié, 2015-01
Partie d'ouvrage collectif
Résumé : Loss of fingers represents an important aesthetic and functional handicap. Finger ischemia is a rare pathology but can have several different etiologies and need to be closely managed to limit the extension of necrosis. The management of finger ischemia is depending on the etiological factors and type of necrosis. This is why a close collaboration between the surgical and medical specialties is mandatory for limiting extension of necrosis and amputation of the fingers. When necrosis occurs and is delimiting, optimalization of clinical assessment and conservative treatment often decreases the need of surgical shortening of the finger and can sometimes save some important functional parts of the hand. We will discuss in this chapter the way to diagnose and how to manage the digital necrosis.