Acta Chir Plast. 2021 Fall;63(3):113-117. doi: 10.48095/ccachp2021113.
Fingertips are the most commonly injured anatomical structures in the upper extremity. The aim of this work is to present our experience in the management of fingertip injuries.
All patients with fingertip injuries managed by Plastic and Reconstructive Surgery Division of Hospital General “Dr Manuel Gea Gonzalez” in Mexico from July 2010 to June 2015 were included; their demographic characteristics were described, as well as patterns of injury and management.
A total of 1,265 patients were included in the study, 75% were males. The mean age of presentation was 20.5 ± 16.46 years; the age group most commonly affected was younger than 15 years (46.7%). Right and left-sided injuries were almost equally prevalent (51 vs. 49%). The most commonly injured fingers were the third (27.2%), and second (25.8%). Eighty-seven percent of the patients presented with single-digit injuries. Fingertip amputations were the most common type of injury with 620 cases (49%), followed by simple fingertip lacerations (574 cases, 45%), and nail bed injuries in 71 cases (5.6%). Surgical management was necessary in 95.8% of the cases.
Fingertip injuries remain the most common reason for consultation in hand emergencies. A structured approach for their treatment is necessary to obtain the best clinical outcomes.
指尖是上肢最常见的受伤解剖结构。本研究旨在介绍我们在指尖损伤处理方面的经验。
纳入 2010 年 7 月至 2015 年 6 月期间在墨西哥“曼努埃尔·赫亚·冈萨雷斯”综合医院整形与重建外科治疗的所有指尖损伤患者；描述了他们的人口统计学特征，以及损伤类型和处理方式。
共纳入 1265 例患者，75%为男性。就诊时的平均年龄为 20.5 ± 16.46 岁；最常见的损伤年龄组为 15 岁以下（46.7%）。右侧和左侧损伤几乎同样常见（51%比 49%）。最常见受伤的手指是第三指（27.2%）和第二指（25.8%）。87%的患者为单指损伤。指尖完全离断是最常见的损伤类型，有 620 例（49%），其次是单纯指尖裂伤（574 例，45%）和甲床损伤 71 例（5.6%）。95.8%的病例需要手术治疗。
指尖损伤仍然是手部急诊最常见的就诊原因。为获得最佳临床效果，需要对其进行规范的治疗。
