Clinical analysis of replantation of finger degloving amputation in children

Abstract

Objective To report the clinical treatment and efficacy of replantation of finger degloving amputation in children. Methods From January 2010 to December 2017, 10 cases (12 fingers) of finger degloving amputation were performed replantation in children aged 11 months to 3 years old. The clinical features, surgical precautions and postoperative efficacy of the injuries were retrospectively analyzed. Results Postoperatively 10 fingers survived and 2 fingers died. The postoperative follow-up period was 6 to 12 months. Among them, 2 fingers had mild lateral deformity of distal segment development and 1 finger had hypertrophic scar contracture. The other fingers had good shape and functional recovery. According to the evaluation criteria of replantation function of severed fingers issued by Hand Surgery Society of Chinese Medical Association, the results were rated as excellent in 7 fingers, good in 2 fingers, and poor in 3 fingers. Conclusion The characteristics of finger degloving injury in children are various. Individualized treatment during and after operation can achieve better clinical efficacy. Key words: Child; Replantation; Degloving amputation; Treatment outcome