Volume : VII, Issue : XII, December - 2017

A STUDY ON OUTCOMES OF HYPOTHENAR GRAFT FOR FINGER TIP INJURIES

V. Sriram, K. Boopathi

Abstract :

 Finger tip injuries occurs more commonly due to industrial accidents and produces significant patient morbidity 1,2.This paper suggests the use of the hypothenar eminence as a logical donor site for such grafts, simplifying the procedure and producing an excellent end resultpatients with fingertip injuries who underwent full–thickness hypothenar grafts were taken up for the study. The results were evaluated objectively and subjectively at an average of 9.5 months after operation for sensibility, durability, and appearance.The average age of the patients was years 8 to 60 years)37 patients (92.5[1] %)gave a score of 4 or 5 (good) for appearance and 3 patients(7.5%) told it is acceptable. The donor site was cosmetically acceptable .When tested for light touch,  38 patients(95%) had similar number of responses to touch  stimuli over grafted skin when compared to the  normal fingers of other hand. In 36 patients(90%) the Two–point discrimination was less  than 6 mm and  hence was found to have normal sensibility. 2 patients had two–point discrimination of 8mm . In 2 patients the two–point discrimination was judged to be only protective. All patients could differentiate betweencoarse and smooth textures. In20 patients(50%) the texture discrimination was identical to that of the uninjured hand.17 patients(42.5%)complained of hypersensitivity to touch over hypothenar grafted skin.The grafted site and donor site was cosmetically acceptable . The procedure is simple to execute .The use of hypothenar full–thickness grafts provides an acceptable and easier method for finger tip reconstruction.The sensation and texture discrimination was good. Thick hypothenar graft is a good alternative method for fingertip reconstruction with  good outcome

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

V.Sriram, K.Boopathi, A STUDY ON OUTCOMES OF HYPOTHENAR GRAFT FOR FINGER TIP INJURIES, INDIAN JOURNAL OF APPLIED RESEARCH : Volume-7 | Issue-12 | December-2017


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