DOI: http://dx.doi.org/10.18203/issn.2455-4510.IntJResOrthop20202682

Finger-tip injuries: a study on functional outcomes of various methods of treatment

Hitesh Singhal, Nirottam Singh, Aviral Gupta, D. S. Meena

Abstract


Background: Fingertip injuries are the most common injuries of the hand. Although maintenance of length, preservation of the nail, and appearance are important, the primary goal of treatment is a painless fingertip with durable and sensate skin. Restoration of original form or reconstruction of the most comfortable and functional compromise is the substance of challenge assured by the surgeon who manages the injured fingertip.

Methods: This descriptive study was done to evaluate the outcomes of various management (conservative, primary closure, SSG and various flaps) of fingertip injuries of 180 patients from December 2014 to 2016.

Results: Out of 180 patients, 30 dropped out, 76% were males and 24% were females. 68% were children and labor class. Index finger was involved in 55% cases. 42% injuries were due to machine injuries and door entrapment. Conservative and cross finger flap has better outcomes.

Conclusions: This is a preliminary report of 150 cases of the fingertip injuries with the problem of tissue loss. Most patients were injured while working. Majority of trauma was caused by various machines. Various methods had been chosen depends on type of injuries, age and occupation.


Keywords


Fingertip, Primary closure, Split skin graft, Cross finger flap

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