2. Experience in the Management of Finger Tip Injuries at a Tertiary Care Hospital in Karachi
Mirza Shehab Afzal Beg1, Sheeraz-ur-Rahman2, Sobia Yasmeen1, Amber Bawa1 and Batool Urooj1
ABSTRACT
Objective: To analyze the pattern of fingertip injuries in patients presenting to the emergency department in terms of management options in accordance with the severity of injury. Study Design: Descriptive case series study.
Place and Duration of Study: This study was conducted at the Plastic and Reconstructive Surgery Department, Liaquat National Hospital, Karachi from July 2014 to June 2015.
Materials and Methods: A study was undertaken on records of 261 patients who were presented with fingertip injuries to the Emergency Department of Liaquat national hospital, Karachi during the years 2014-2015. Data was subjected to both descriptive and inferential analysis. Variables like patient’s age, gender, place of injury, mechanism and type of injury, amputation level and treatment options were defined by using descriptive analysis. Inferential analysis was applied for evaluating the most commonly affected age grou , the most frequent mechanism of injury and the relationship of severity of injury to the choice of treatment o tion.
Results: The frequency of injuries was highest among young populati n (< 10 years) and in boys. Majority of injuries occurred due to finger trapped in doors, crush injuries were the m st c mm n type. Amputation injuries are mostly of type 1 and type 2 allen’s type. Primary repair is the mode of treatment that is frequently used followed by conservative management, revision amputation and local flaps.
Conclusion: Children below 10 years of age were involved in fingertip injuries in a large number. Door trap injuries are frequently common and safety measures should be devised to prevent fingertip injuries. Treatment should be individualized according to the type and characterist cs of njur es and should be carefully planned. Key Words: Finger tip injuries, Hand trauma, Management opt ons.
Citation of articles: Beg MSA, Rahman S, Yasmeen S, Bawa A, Urooj B. Experience in the Management of Finger Tip Injuries at a Tertiary Care H spital In Karachi. Med Forum 2017;28(7):7-10.