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      Management of Pediatric Distal Fingertip Injuries: A Systematic Literature Review

      review-article
      , BA Hons * , , MRCS, MSc (Oxon.) , , , MA, PhD, FRCS (Plast) ,
      Plastic and Reconstructive Surgery Global Open
      Wolters Kluwer Health

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          There is no author summary for this article yet. Authors can add summaries to their articles on ScienceOpen to make them more accessible to a non-specialist audience.

          Background:

          Nail bed and fingertip injuries are the commonest hand injuries in children and can lead to profound functional and cosmetic impairments if not appropriately managed. Fingertip injuries can present with subungual hematomas, simple or stellate lacerations, crush, or avulsion injuries, often with associated fractures or tip amputations. The fundamentals of managing nail bed injuries concern restoring the form and function of a painless fingertip. However, there are controversies surrounding the optimal management of each of these injuries, which has led to nonuniformity of clinical practice.

          Methods:

          The PubMed database was searched from March 2001 to March 2019, using a combination of MeSH terms and keywords. Studies evaluating children (<18 years of age) and the fingertip (defined as distal to the distal interphalangeal joint) were included following screening by the authors.

          Results and Conclusion:

          The evidence base for the diverse clinical management strategies currently employed for fingertip injuries in the pediatric population is limited. Further studies yielding level I data in this field are warranted.

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          Most cited references56

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          Evidence that school-age children can self-report on their health.

          Anne Riley (2004)
          The value of obtaining children's reports about their health from questionnaires is a topic of considerable debate in clinical pediatrics and child health research. Evidence from the following areas can inform the debate: 1) studies of parent-child agreement or concordance about the child's health state, 2) basic research on the development of children's cognitive abilities, 3) cognitive interviewing studies of children's abilities to respond to questionnaires and of influences on their responses, 4) psychometric studies of child-report questionnaires, and 5) longitudinal research on the value of children's reports. This review makes a case for the utility of child rather than parent-proxy reports for many, though not all, applications. The review summarizes evidence in terms of the value and limitations of child questionnaire reports. Research demonstrates adequate understanding and reliability and validity of child reports of their health even at age 6, which increases after age 7 in general populations. The reliability of reports by children 8-11 years old is quite good on health questionnaires developed especially for this age group. Children's personal reports provide a viable means of monitoring internal experiences of health and distress during childhood and adolescence, which can enhance understanding about trajectories of health and development of illnesses.
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            Repair and reconstruction of thumb and finger tip injuries: a global view.

            In this review, an international group of senior hand surgeons was asked to provide their currently used methods, views, and advice on thumb and fingertip repair. The basic requirements and methods of thumb and fingertip repair are first outlined, followed by descriptions of the methods favored by individual units or surgeons. More recent innovative methods and modifications are described and challenging topics are discussed. This review ends by illustrating and discussing a few exploratory treatments that hold promise of greatly changing future perspectives of this common clinical problem.
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              • Record: found
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              • Article: not found

              Twenty years' experience of limb replantation--review of 293 upper extremity replants.

              S Tamai (1982)
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                Author and article information

                Journal
                Plast Reconstr Surg Glob Open
                Plast Reconstr Surg Glob Open
                GOX
                Plastic and Reconstructive Surgery Global Open
                Wolters Kluwer Health
                2169-7574
                January 2020
                20 January 2020
                : 8
                : 1
                : e2595
                Affiliations
                From the [* ]School of Clinical Medicine, University of Cambridge, Cambridge, UK
                []Kellogg College, University of Oxford, Oxford, UK; Department of Surgery and Cancer, Imperial College London, London, UK
                []Department of Plastic Surgery, St. Thomas’ Hospital, London, UK.
                Author notes
                Aina Greig, MA, PhD, FRCS (Plast), Consultant Plastic Surgeon, Department of Plastic Surgery, St Thomas’ Hospital, Westminster Bridge Road, London, UK, SE1 7EH. Email: aina.greig@ 123456gstt.nhs.uk
                Article
                00023
                10.1097/GOX.0000000000002595
                7015615
                32095403
                6aed4f36-ee0c-4a0b-b42d-6db191260bdd
                Copyright © 2020 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons.

                This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.

                History
                : 15 August 2019
                : 28 October 2019
                Categories
                Review Article
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