Cap-Plasty Reattachment for Unreplantable Fingertip Amputations | ||||
| Benha Journal of Applied Sciences | ||||
| Article 15, Volume 7, Issue 8, August 2022, Page 109-115 PDF (737.5 K) | ||||
| Document Type: Original Research Papers | ||||
| DOI: 10.21608/bjas.2022.270116 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| M G.Ibrahim; M O.Hegazy; W AKandel; O Eisawy | ||||
| Orthopedic Surgery,Dept.,Faculty of Medicine, Benha Univ., Benha, Egypt | ||||
| Abstract | ||||
| Background: Distal inter-phalangeal joint [DIPJ] amputation is the amputation of a portion of the finger distal to this joint. Patients should expect a painless recovery with minor shortening of the fingertip while yet maintaining its normal function and appearance. For the present investigation, it was determined that cap-plasty approach was effective for treating unreplantable fingertip amputations distal to the insertion of Flexor Digitorum Perimeter Muscle. During the months of April 2020 and April 2022, a prospective study of 40 patients who had digital replantation using the cap-plasty approach was carried out to assess the procedure's success. At the Benha Orthopedic Department and Heliopolis Hospital, we gathered all of the participants for this research. Results: The survival rate of the distal stump was 92.5 percent in this research. As the mean value for two-point discrimination ranged from 3 to 10 mm, 90% of patients were able to return to their pre-injury function. The reattached fingertip had a mean pinch power of 74.75%, ranging from 65.75% to 85.75%. A self-report questionnaire was used to measure the cosmetic results. Patients were happy with an average fingertip shortening of 3.25mm, with a range of one to five millimetres, and an 85 percent approval rating. Children's two-point discriminating and finger shortening decreased statistically significantly. Complications occurred in 2 patients (5%) who had a superficial infection that was treated medically without requiring debridement, and in 10 patients (25%) who had Tip necrosis, of whom 4 were cured through primary healing, 3 were cured through granulation tissue, and 3 were unable to receive successful grafts. From six to ten months, the median follow-up length was 7.85 months. Because no issues arose in the children, the difference between the two groups was statistically significant. Conclusion: When microsurgical anastomosis is not achievable, cap plasty may be a viable procedure for treating distal fingertip amputations in adults and children. Patients were able to resume to their daily routines quickly because to the high success rate, excellent functional and sensational results, and patient satisfaction. | ||||
| Keywords | ||||
| Cap; Plasty Reattachment; Unreplantable Fingertip Amputations | ||||
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