MANAGEMENT OF FINGER TIP INJURIES USING LOCAL AND DISTANT FLAPS – AN INSTITUTIONAL EXPERIENCE

Aravind L. Rao, Sriranjani Srivatsa, K. V. Rajeshwara

Abstract


Introduction: While considering hand injuries , the most common portion of the hand involved is the finger tip. While Indian Statistics are lacking ,
studies from the United states have shown that nearly 4.8 million individuals sustain fingertip injuries every year. The number , may be , postulated
to be higher in the Indian scenario. In this article , we elucidate different methods of flap cover for these injuries , that we have used over a period of
one year at our institute.
Methods: In the time period between August 2018 and August 2019 , patients with fingertip injuries who underwent flap cover ( and were willing to
participate in the study ) , without significant other systems injuries were enrolled in the study.
Results: Most cases ( 25/50 ) were treated with a cross finger flap , while 14 were treated with an abdominal or groin flap , 7 patients underwent V-Y
plasty , 4 required more nuanced approaches. Most of the patients had an outcome characterised as 'Good' (39 patients) , 8 patients had a 'Fair'
outcome and only 3 patients had a ' poor ' outcome , likely attributable to the initial severity of injury.
Conclusion: Fingertip injuries are common and the modalities of treatment numerous . Treatment ranges from simple primary closure to complex
flap reconstruction . The literature is awash with numerous methods for flap reconstruction . However , our institutional experience illustrates that
barring a few special circumstances , most cases can be treated by one of the above mentioned flaps.


Keywords


Finger tip injury , Flap cover

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