Fingertip injuries

De Alwis, Waruna

doi:10.1111/j.1742-6723.2006.00851.x

Cited by 30 publications

(17 citation statements)

References 58 publications

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“…They account for approximately 10% of all accidents reported in the casualty and two-thirds of hand injuries in children. 1 In adults major cause is occupational injury, consistent with our study. 1,2 There are several classifications describing the fingertip injuries.…”

Section: Discussionsupporting

confidence: 81%

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Surgical management of fingertip injuries

2016

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Background: Fingertip injuries are common due to industrial accidents, ranging from small laceration and nail bed injuries to traumatic amputation and severe crush. It is best retain as much native tissue when viable. Surgical options in treating the fingertip injuries are individualized to each patient considering the injury pattern, age, hand dominance and occupation.Methods: It is a retrospective study of 102 fingertip injuries in 95 patients, whose age ranges from 2 years to 60 years over a period of 3 years.Results: In 90% of patient’s primary wound healing was achieved in 2 weeks period. All were satisfied with the functional outcome and average period of returning to the work is 4 weeks. Conclusions: Fingertip injuries needs individualized management specialized to achieve optimum results, maximum patient satisfaction rates and early return to pre injury occupation level.

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Section: Discussionsupporting

confidence: 81%

“…Fingertip injuries and nail bed injuries are common due to industrial accidents producing significant functional and cosmetic morbidity. 1,2 Appropriate management is the key to achieve optimum function and good cosmesis. The aim is to achieve well-padded, stable, sensate and painless skin.…”

Section: Introductionmentioning

confidence: 99%

Surgical management of fingertip injuries

2016

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“…Children recognise the world fearlessly with their fingers. This is the reason why fingertip injuries constitute the largest part of hand traumas in children [8].…”

Section: Introductionmentioning

confidence: 99%

“…That is the reason why fingertip amputation is the most common type of injury seen in the upper limbs [8]. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a wellpadded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible.…”

Section: Introductionmentioning

confidence: 99%

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Sungur¹,

Kankaya²,

Yıldız

et al. 2012

Hand (New York, N,Y.)

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Background Fingertip amputation is the most common type of injury in the upper limb. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a well-padded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible. Adjacent skin and soft tissue are the best covers for fingertip injuries. However, local homodigital flaps lack enough tissue to cover the defect. To solve this problem, we used V-Y rotation advancement flap bilaterally in fingertip amputations which meets all the reconstruction goals. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes. Methods Between 2007 and 2009, we performed bilateral V-Y rotation advancement flap on seven male patients' pulpa (average age, 37.6 years) whose fingertips were not replantable.Results Fourteen flaps were made on 7 fingers. There was neither total nor partial flap loss. Patients had neither cold intolerance nor scar hypersensitivity. Stiffness of the PIP joint did not occur. No obvious hooked nail occurred in patients who have remaining nail matrix. Because flaps contain neurovascular bundle, there was no difference in sensation and perfusion between the finger's pre-operative and post-operative status. The result was satisfactory with painless pinching. Conclusion In addition to the various and versatile fingertip reconstruction methods, we want to present V-Y rotation advancement flap as a quick, reliable and aesthetic method.

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“…The description of currently available several classifications of fingertip injuries and possible errors made during in the treatment at different levels of care are provided. Particular attention is paid to modern methods of restoring the integrity of the fingertips, assessing the treatment outcomes, the most common complications, and some methods for their elimination.Key words: distal phalanx, nail, fingertip injury, flaps, replantation.УДК 617.578-001-089.15 doi 10.17223/1814147/56/11 ВВЕДЕНИЕ Травмы дистальных фаланг пальцев (ДФП) кисти встречаются довольно часто во всем мире [7,33,40, 125]. D. Ootes и соавт.…”

mentioning

confidence: 99%

SURGICAL MANAGEMENT OF DISTAL PHALANGEAL INJURIES OF FINGERS (review)

Khodzhabaghyan¹,

Pshenisnov²,

Abraamyan³

et al. 2016

Issues of reconstructive and plastic surgery

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Настоящий обзор основан на анализе отечественной и зарубежной литературы о хирургическом лечении повреждений дистальных фаланг пальцев кисти. Приведено описание имеющихся на настоящий момент клас-сификаций повреждений кончиков пальцев, возможных ошибок, допускаемых в ходе лечения на разных уров-нях оказания медицинской помощи. Особое внимание уделено современным методикам восстановления целостности кончиков пальцев кисти, оценке результатов лечения, наиболее часто встречаемым осложнениям и некоторым методам их устранения.Ключевые слова: дистальная фаланга, ноготь, травма кончика пальца, лоскуты, реплантация.This review is based on an analysis of literature on the surgical treatment of injuries of the distal phalanges of the fingers. The description of currently available several classifications of fingertip injuries and possible errors made during in the treatment at different levels of care are provided. Particular attention is paid to modern methods of restoring the integrity of the fingertips, assessing the treatment outcomes, the most common complications, and some methods for their elimination.Key words: distal phalanx, nail, fingertip injury, flaps, replantation.УДК 617.578-001-089.15 doi 10.17223/1814147/56/11 ВВЕДЕНИЕ Травмы дистальных фаланг пальцев (ДФП) кисти встречаются довольно часто во всем мире [7,33,40, 125]. D. Ootes и соавт. указывали, что самым частым типом травмы в США, заставляю-щим людей обратиться за неотложной медицин-ской помощью, являлась рваная рана пальца (221 случай на 100 тыс. населения ежегодно); перело-мы пальцев -на третьем месте (68 случаев на 100 тыс. населения ежегодно) [116]. С этими дан-ными коррелируют результаты исследований, проведенных в Великобритании, где частота пере-ломов пальцев составляет 380 случаев на 100 тыс. населения [42].Анализ показателей травматизма в России вы-явил, что 86,6% травматических повреждений кос-тей были переломами конечностей, в том числе 38,2% -верхних [1]. Значительную распростра-ненность травм в России А.Н. Коновалов (2008) связывал как с социально-экономическими изме-нениями в обществе, так и с сокращением целена-правленной работы по профилактике несчастных случаев, а также со снижением объема специаль-ных научных исследований по этой проблеме [8].Несмотря на то, что первое десятилетие XXI в. Всемирная организация здравоохранения провозгласила декадой по лечению костей и сус-тавов, определяя профилактику и лечение травм конечностей как одну из 5 приоритетных про-блем костно-мышечных заболеваний [95], до сих пор нет разработанного общепринятого прото-кола ведения больных с травмами ДФП, и мне-ния специалистов нередко диаметрально расхо-дятся [33, 98, 103].Недавний опрос кистевых хирургов разных стран показал, что существует большой разброс в выборе метода лечения при каждом конкрет-ном типе отчленения ДФП [103]. Выяснилось, что среди специалистов со стажем работы менее 5 лет наиболее вероятное решение -формиро-вание культи. Американские хирурги реже дела-ют реплантацию отчлененных участков и, по сравнению с хирургами других стран, меньше исп...

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Fingertip injuries

Cited by 30 publications

References 58 publications

Surgical management of fingertip injuries

Surgical management of fingertip injuries

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

SURGICAL MANAGEMENT OF DISTAL PHALANGEAL INJURIES OF FINGERS (review)

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