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      Epidemiology and management of motorbike chain-related fingertip injuries: A retrospective study at B&B Hospital, Kathmandu

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          Abstract

          Fingertip injuries, particularly those resulting from motorbike chain accidents, pose significant challenges due to their impact on daily life activities. This retrospective study conducted at B&B Hospital in Kathmandu from January 2018 to December 2022 aimed to explore the epidemiology and management of motorbike chain-related fingertip injuries. Among the 256 cases of fingertip injuries studied, 136 were attributed to motorbike chain accidents. Males comprised the majority of cases, and the index and middle fingers were the most frequently injured. Various surgical procedures were employed for treatment, with V–Y Plasty being the most common. These findings underscore the complexity of managing these injuries and highlight the importance of preventive measures and patient-centered care.

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          Repair and reconstruction of thumb and finger tip injuries: a global view.

          Jin Bo Tang, David Elliot, Roberto Adani … (2014)
          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.
          Article 0 comments Cited 38 times – based on 0 reviews     Review now
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            Fingertip Injuries and Amputations: A Review of the Literature

            Abdal Kawaiah, Mala Thakur, Stuti P. Garg … (2020)
            The fingertip is defined as the part of the digit distal to the insertion of the extensor and flexor tendons on the distal phalanx. Devastating injuries to the hand occur every year that lead fingertip amputations in thousands of people. The highest incidence rates are usually seen in children less than five years old and in adults over the age of 65. There are various presentations of injury that may end up with post-traumatic fingertip amputation, including lacerations, avulsions, and crush injuries. The fingertip is vital for sensation, as it has a high concentration of sensory receptors, and hence the restoration of sensation is the most important focus of treatment. The three main goals of treatment are the restoration of sensation and durability in the tip and assuring proper bone support to allow for nail growth. Many complications can arise after fingertip amputation, including delayed wound healing, nail deformities with poor aesthetics, hypersensitivity, residual pain, cold intolerance, scar retraction, flexion contractures, chronic ulceration, infection, and flap loss. The objective of this study is to provide an overview of the anatomy of the fingertip, the presentation of fingertip injuries and their management, and complications that might arise after surgery.
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              Fingertip injuries

              Sanjay Saraf, VK Tiwari (2007)
              Background: Fingertip injuries are extremely common. Out of the various available reconstructive options, one needs to select an option which achieves a painless fingertip with durable and sensate skin cover. The present analysis was conducted to evaluate the management and outcome of fingertip injuries. Materials and Methods: This is a retrospective study of 150 cases of fingertip Injuries of patients aged six to 65 years managed over a period of two years. Various reconstructive options were considered for the fingertip lesions greater than or equal to 1 cm2. The total duration of treatment varied from two to six weeks with follow-up from two months to one year. Results: The results showed preservation of finger length and contour, retention of sensation and healing without significant complication. Conclusion: The treatment needs to be individualized and all possible techniques of reconstruction must be known to achieve optimal recovery.
              Article 0 comments Cited 7 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Sweta Jaiswal
                Journal
                Journal ID (nlm-ta): Heliyon
                Journal ID (iso-abbrev): Heliyon
                Title: Heliyon
                Publisher: Elsevier
                ISSN (Electronic): 2405-8440
                Publication date PMC-release: 05 August 2024
                Publication date Collection: 15 August 2024
                Publication date (Electronic): 05 August 2024
                Volume: 10
                Issue: 15
                Electronic Location Identifier: e35606
                Affiliations
                [a ]Department of Orthopedics, B & B Hospital, Gwarko, Lalitpur, Nepal
                [b ]Department of Orthopedics, Hospital & Rehabilitation Center for Disabled Children, Janagal, Kavre, Nepal
                [c ]Hospital & Rehabilitation Center for Disabled Children, Janagal, Kavre, Nepal
                Author notes
                [* ]Corresponding author. Department of Orthopedics, B & B Hospital, Gwarko, Lalitpur, Nepal. jaiswalsweta167@ 123456gmail.com
                Article
                Publisher Item ID: S2405-8440(24)11637-4 Publisher ID: e35606
                DOI: 10.1016/j.heliyon.2024.e35606
                PMC ID: 11336863
                PubMed ID: 39170155
                SO-VID: 8a80d375-248d-4d56-b587-e2b696e44677
                Copyright © © 2024 The Authors
                License:

                This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

                History
                Date received : 7 February 2024
                Date revision received : 31 July 2024
                Date accepted : 31 July 2024
                Categories
                Subject: Research Article

                Keywords: fingertip injuries,motorbike chain injuries,amputation,epidemiology,management,retrospective study
                Data availability:
                Keywords: fingertip injuries, motorbike chain injuries, amputation, epidemiology, management, retrospective study

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