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Related Experiment Videos

[Finger tip amputations in children].

R Rösslein1, B R Simmen

  • 1Kinderchirurgischen Universitätsklinik, Kinderspital Basel.

Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|November 1, 1991
PubMed
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Reattaching amputated fingertips in children using composite grafts or conservative healing yields excellent results. Most children achieved good anatomical and functional recovery, with normal sensitivity and minimal nail deformities.

Area of Science:

  • Pediatric surgery
  • Traumatology
  • Regenerative medicine

Context:

  • Fingertip injuries are common in children.
  • Replantation and conservative treatment are key management options.
  • Assessing long-term outcomes is crucial for pediatric digital trauma.

Purpose:

  • To evaluate the outcomes of composite graft replantation for pediatric fingertip amputations.
  • To compare composite graft replantation with conservative treatment (secondary intention healing).
  • To assess functional and aesthetic results in children with fingertip injuries.

Summary:

  • A study evaluated 13 pediatric fingertip amputations (ages 1-8), with 12 treated via composite graft replantation and 1 by secondary intention.
  • After a mean follow-up of 3.4 years, most cases showed healing, with some experiencing partial necrosis initially.

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  • Results included good anatomical tip appearance (7/11 symmetrical), preserved distal phalangeal length, normal sensitivity, and minimal nail deformities.

    • Impact:

    • Composite graft replantation is a viable and effective treatment for pediatric fingertip amputations (Zones I-III).
    • The study supports conservative management and composite grafting for achieving excellent functional and aesthetic outcomes in children.
    • Findings provide valuable data for pediatric hand surgeons managing digital tip injuries.