Thesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of General Surgery

Fingertip amputations are very common injuries, they account for 45% of all emergency department hand injuries. The middle fingertip is most commonly injured, followed by the ring fingertip, while thumb tip injury is least common. Fingertip injuries are generally classified as transverse or oblique (either dorsal or volar), according to the plane of amputation. Immediate repair is preferable for the best outcome. The management of these injuries can be challenging because of the lack of locally available tissue for reconstruction. This study attempts to show the benefits of using the Hatchet Flap technique in covering 40 cases of fingertip amputation that presented in emergency department of Kasr Alainy university hospital. More than 40 cases of fingertip amputation were examined and managed using this technique. In addition of managing these cases, we followed these cases over a 3 months period of time after first presentation and intervention to assess the outcome and any possible complications. In this study, forty cases were thoroughly interviewed, investigated, treated and followed over a three month period. Age ranged between 16-55 years with average age 30.871. Ninety five percent of the cases were males (38 cases) while the rest were females, 90% were occupational according to the cause and the rest were traumatic/ household, according to the Allen{u2019}s classification the majority (37.5%) of cases showed amputation level class II. Only 3 cases (7.5%) did not have bone exposed. The index finger was the most injured in our study (35%). Fifteen (37.5%) cases showed postoperative infection. Nineteen (47.5%) cases got involved in the physical treatment/ occupational therapy. Thirty (75%) cases had numbness over the injured finger. Only 12 30% cases completely survived

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