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• W2801388635 abstract "INTRODUCTION:Whenever we face an illness, the aching part of our body reminds andwarns us. A healthy person would not really remember and feel his back, unlikea person with a herniated disk pain in the area, can barely stand up. With thisapproach, we realize that every organ in our body is valuable and important;trying to prove one is above the others would be absurd. Having said that,wecould think of hands as of those organs that distinguish humans from otherliving beings. As we all know mobility is watch word for upper limb, hands areimportant for daily living for all human. No machine or Robot in the world canreplace a sensate and mobile hand and fingers. The hand is second only to facein its representation in the somatic sensory cortex of the brain. Together withthe muscles of vocalization, the hand accounts for more than half of the entireprimary motor cortex.AIM:1. To compare and study the functional and aesthetic outcome of finger tipinjuries with skin loss which have been managed by thenar flap and crossfinger flap.2. To study the donor site morbidity in the above mentioned patients.MATERIALS AND METHODS: An informed consent was obtained before doing the surgical procedure.All routine basic investigations were carried out before the surgery andprocedure.X rays of the involved hand anteroposterior and oblique views were taken in allthe cases preoperativey and if required postoperatively.The proforma was duly filled.The procedure and complications were explained.Age, sex, mode of injury, type of injury, duration of flap division, and donorsite morbidity and complications, were analysed.Colour match texture, sensation, aesthetic appearance were considered in thestudyThe results were analyzed.Photos of the injured hand were taken both preoperative and postoperativeperiod after informing the patients .Patients were informed about presentation and publications in conferences andjournals if necessary.Inclusion Criteria:1. Age group between 4 years - 40 years,2. Acute fingertip injuries with defects exposing bone or tendon,3. Transverse or oblique amputation distal to dip joint,4. Paucity of soft tissue and more volar loss,5. Previously injured adjacent finger.EXCLUSION CRITERIA1. Age less than 4 years and above 40 years,2. Multiple injuries in the same finger,3. Thumb injuries,4. Mangled extremity,5. Major crush injury,6. Previously injured stiff finger,7. Stiff joints,8. Other systemic or co-morbid conditions.RESULT:Over a period of 2.5 Years (30 months) from September 2011 to February2014, a total of 45 patients with fingertip injury were studied. Group IThenar flap 19 patients and group II cross finger flap 26 patients werestudied. The injured were randomly put into the above groups. There was nostrict criteria to fit the patients in each group.Demographic distribution , method and mode of injury, type of injury,duration of flap division, donor site morbidity were studied in this series. Theshortest period being two months and the longest being two and a half years.The commonest type of trauma to finger tip is Crush injury (n=21)avulsion(n=10) and slicing injury(n=8). There were six cases of clean cutamputation(n=6).Of the 45 patients, Index finger was involved in 13 cases out of whichfive where in the thenar group and eight in the cross finger flap group, Mid(n=16),nine in thenar and seven in cross finger flap group Ring(n=9),three inthe thenar and 6 in cross finger flap group and finally, Little(n=7) two inthenar group and five in cross finger flap group.Out of 45 patients(n= 34) were right sided ,14 in thenar flap group and 20in cross finger flap group, whereas (n=11) were left sided out of which 5belongs to thenar flap group and 6 belongs to cross finger flap group.There were 25 males, eleven in the thenar flap group, and 14 in cross finger flapgroup. Out of 12 female 5 in thenar group and 7 in cross finger flap group andout of 8 children there were three in thenar and 5 in cross finger flap group.Of the 45 patients age 3 to 45 years, were ranging in this study and maximumnumber of injuries(28%) where found between age group of 20 to 30 years13(n=45). youngest child was 4 years of age due door shut injury and sustaineda crush injury with skin loss and the oldest patient in the study was 48 yearssustained injury by industrial accident. Of the 45 patients, majority of injuries occurred at work(n=23) industrial accidents which includes 21 men and 2 women and others due to RTA and assault (n=4)all four where me. In children, 8 out of 8 were due to door crush(n=8). Household work and mixie injuries at kitchen are common in female(n=10) out of 12.CONCLUSION:• An excellent tissue match of color, texture, bulk and contour of the lostfinger pulp was provided by thenar flap.• Aesthetic appearance of the finger tip following thenar flap is superiorto cross finger flap.• The sensory recovery of the finger tip in thenar flap group is comparablybetter than with Cross finger flap.• Tactile discrimination and tactile localisation is always better andappreciable• The donor site is inconspicuous for the thenar flap.• Provides fingerprints to the new fingertip• Thenar flap was found to be better option than cross finger flap as persubjective and objective interpretation.• Thenar flap is a better option for radial fingers, young thin femaleindividuals. Thenar flap is best preferred for females as it does notproduce any scar in the dorsum of the hand• Thenar flap gives the advantage that skin graft is not required for closureof donor site• Thenar flap gives a stable, sensate ,robust and glabourous skin to theinjured finger tip.• Adjacent finger is no way injured in thenar flap compared to cross fingerflap so can be suitable for even adjacent injured fingers• Excellent results and outcome with out complications can be achievedby sound principles like1. Proper flap design,2. Timing of flap division,3. Good rehabilitation by early mobilisation." @default.
• W2801388635 created "2018-05-17" @default.
• W2801388635 creator A5061172061 @default.
• W2801388635 date "2014-08-01" @default.
• W2801388635 modified "2023-09-26" @default.
• W2801388635 title "A comparative study of thenar flap with cross finger flap for finger tip resurfacing" @default.
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