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This is especially true for patients with multiple fingertip examine the advantages, disadvantages and to define the
amputations in which dressing changes may be a painful indications for its use.
ordeal. Like all treatments that allow for wound healing Acknowledgment
by secondary intention, the P‑ECM technique requires P‑ECM powder was provided by ACell, Inc., Columbia,
that a patient adequately understand the treatment MD.
protocol and correctly apply the powder every other day.
Therefore, it is important to consider patient adherence Financial support and sponsorship
and availability of an individual who can aid in treatment Nil.
application, patient’s access to sterile saline and wound Conflicts of interest
dressing materials, and motivation to adhere to treatment There are no conflicts of interest.
regimen.
This series demonstrates that the use of P‑ECM is REFERENCES
comparable to other treatment options for fingertip
amputations. Its use was not compared to healing by 1. Yeo CJ, Sebastin SJ, Chong AK. Fingertip injuries. Singapore Med J
2010;51:78‑86.
secondary intention or any surgical procedures. At this 2. Fassler PR. Fingertip Injuries: evaluation and treatment. J Am Acad Orthop
time, there is no clear justification for its use in fingertip Surg 1996;4:84‑92.
amputations, but perhaps it should be kept in our toolbox 3. Rivera AE, Spencer JM. Clinical aspects of full‑thickness wound healing. Clin
for the treatment of fingertip injuries, especially when 4. Dermatol 2007;25:39‑48.
Lazic T, Falanga V. Bioengineered skin constructs and their use in wound
there are multiple fingers involved. Study is necessary to healing. Plast Reconstr Surg 2011;127 Suppl 1:S75‑90.

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