We have located links that may give you full text access.
English Abstract
Journal Article
[Finger tip amputations in children].
Handchirurgie, Mikrochirurgie, Plastische Chirurgie 1991 November
Among the various alternative forms of treatment of digital tip amputations, replantation of the amputated tip as composite graft or conservative treatment (healing by secondary intention) are of special interest for the management of fingertip injuries in children. From 1986 until 1987, the authors treated thirteen fingertip amputations in children between one and eight years of age (mean 3.5 years). In twelve cases, the amputated tip was reattached as composite graft, one injury healed by secondary intention. Twelve children were reexamined according to a prospective protocol after a mean follow-up time of 3.4 years. In three cases, primary healing of the replanted tip could be observed, in eight cases partial necrosis and superficial mummification preceded complete healing. At follow-up, seven cases presented with an anatomical tip, four with a slight asymmetry. Distal phalangeal length was identical to the opposite side, but in two cases a maximal loss of length of 2 mm was observed. Fingernails showed no significant deformities, although nail bed injuries had occurred in 90% of the cases. Sensitivity was normal in all cases. Child and parents considered the final result excellent in 75% and good in 25%. Reattachment as composite graft or conservative treatment for management of fingertip amputations in children (Zone I to III according to Rosenthal) is recommended and discussed.
Full text links
Related Resources
Trending Papers
Challenges in Septic Shock: From New Hemodynamics to Blood Purification Therapies.Journal of Personalized Medicine 2024 Februrary 4
Molecular Targets of Novel Therapeutics for Diabetic Kidney Disease: A New Era of Nephroprotection.International Journal of Molecular Sciences 2024 April 4
The 'Ten Commandments' for the 2023 European Society of Cardiology guidelines for the management of endocarditis.European Heart Journal 2024 April 18
A Guide to the Use of Vasopressors and Inotropes for Patients in Shock.Journal of Intensive Care Medicine 2024 April 14
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app