Ada S, Bora A, Ozerkan F, Kaplan I, Arikan G
Izmir Hand and Microsurgery Hospital, Turkey.
J Hand Surg Br. 1994 Oct;19(5):601-3. doi: 10.1016/0266-7681(94)90124-4.
The rolling belts on agricultural machinery attract children who unconsciously grab them. The injuries produced include friction burns, injuries to flexor tendons, digital nerves and arteries, skin in zone 2 and fractures. Subtotal or total amputation may occur. We present the results of such injuries to 44 fingers in 16 children aged 1 to 9. The functional results are not satisfactory. In order to grade the results we have devised a classification to this injury. The survival rate for all fingers was 71%, but in the fingers with circulatory problems the survival rate was 50%. On functional assessment seven patients had a good result, seven moderate, and two fair.
