Lipofilling Versus Conservative Treatment in Fingertips Injuries Sequelae

This study compares two treatments for people who have persistent numbness, tingling, or pain (dysesthesia) in a fingertip after it was injured and healed. One treatment is lipofilling, a procedure where fat is taken from elsewhere in your body and injected into the damaged fingertip to repair the tissue. The other approach is conservative treatment — meaning physical therapy, pain management, or other non-surgical options. The study looks at which approach better relieves the abnormal sensations that can make daily activities difficult after fingertip trauma. Fingerip injuries are common and the resulting chronic pain and numbness can be surprisingly debilitating, affecting work and quality of life. Lipofilling has shown promise in reconstructive surgery, but has not been directly compared to non-surgical care for this specific problem. This trial aims to provide clear evidence to guide treatment recommendations. You may be eligible if: - You are between 18 and 75 years old - You have had a fingertip injury on one finger only, below the distal joint - Your finger was treated with directed healing or a skin flap - You have troublesome fingertip dysesthesia (pain/numbness) lasting 6 to 24 months - Your neuropathic pain scores 4 or higher out of 10 on the DN4 scale You may NOT be eligible if: - You have a skin infection, or the injury was above the distal joint, or it involved reimplantation - Your dysesthesia has been present for more than 24 months - You have multi-finger trauma - You are pregnant or breastfeeding - You have a tumour history on the affected finger - You have allergies to local anaesthetics Talk to your doctor to see if this trial is right for you.