Lipofilling Versus Conservative Treatment in Fingertips Injuries Sequelae

Randomized Prospective Study Evaluating the Benefit of the Treatment of the Distal Amputation Sequelae of the Fingers by Lipofilling - LIPOFILLING Study

The purpose of this study is to evaluate the contribution of autologous graft reinjection (lipofilling) in the treatment of dysaesthesic pulp.

Inclusion Criteria:

• Major patient (18 years old) and ≤ 75 years old
• Patient with unidigital trauma downstream of distal interphalangeal joint
• Treated by directed healing OR covered by a flap
• Presenting troublesome pulpal dysesthesia evolving for more than 6 months AND less than 24 months
• The discomfort must be objectified by a DN4 score greater than or equal to 4/10 (neuropathic pain)
• Patient does not have any allergy to the substances used, in particular anesthetic: xylocaine, adrenaline

Exclusion Criteria:

• Patient with cutaneous sepsis, or amputation upstream of distal interphalangeal, or reimplantation, or dysesthesia that has been in progress for more than 24 months, or multi-digital traumatism
• Refusal of the patient to integrate the protocol Or incapacity to consent
• Pregnant or breastfeeding woman
• Tumor history of the amputated finger