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Local or distal flap in the management of digital trauma in children
Fatoumata Binta Balde1, Thierry Mukenge1, Zineb Benmassaoud1
1Hassan II University Hospital of Faz, Department of Pediatric Surgery, Fes, Morocco.
Insights
This study reviewed 42 paediatric fingertip injuries treated with flaps, finding good to excellent results in 66.67%. Prevention remains the most effective strategy for these common childhood injuries.
Area of Science:
- Paediatric Surgery
- Hand Surgery
- Trauma Management
Background:
- Fingertip injuries are common in children.
- Effective management is crucial for optimal outcomes.
- Flap reconstruction offers a viable treatment option.
Purpose of the Study:
- To describe the management of paediatric fingertip injuries treated with flaps.
- To evaluate the long-term aesthetic and functional results of flap reconstruction.
- To identify key factors influencing treatment outcomes.
Main Methods:
- A 2-year prospective study of paediatric fingertip injuries treated with flaps.
- Data collection included patient demographics, injury characteristics, and treatment details.
- Flap selection was individualized; aesthetic and functional outcomes were assessed.
Main Results:
- Forty-two fingertip injuries were treated with flaps in paediatric patients.
- The average age was 7 years, with a higher incidence in boys.
- Good to excellent results were achieved in 66.67% of cases, with Atasoy, palm, and cross-finger flaps being utilized.
Conclusions:
- Flap reconstruction provides good to excellent outcomes for paediatric fingertip injuries.
- Individualized flap selection is important for successful reconstruction.
- Prevention strategies are paramount for reducing the incidence of these injuries.
Objectives:
We aim to describe the management of fingertip injuries treated by flaps in the paediatric surgery emergency ward and evaluate the long-term results.
Patients And Methods:
Through a 2-year prospective study, we analysed all fingertip injuries treated by flaps in the paediatric emergency ward. We collected patients' data and the clinical and imaging characteristics of the lesions. The type of flap was chosen on a case-by-case basis. We evaluated aesthetic and functional results.
Results:
Forty-two fingertip injuries required the use of flaps. The average age was 7 years, and boys were more affected. The smashed fingertip was the most common mechanism; pulp lesions and amputation were located mainly in zone I or II. We performed Atasoy flaps, palm flap, free skin grafts, McGregor flap and the cross finger flap. Our results were good to excellent in 66.67%.
Conclusions:
The best management of fingertip injuries in children remains prevention.
