Objectives: Fingertip injuries are frequent and there are many techniques used for reconstruction fingertip injuries.
The authors reviewed the outcomes of fingertip reconstruction, including sensation and shape, using the combined
technique of the cross-finger flap and full thickness skin graft and defined the optimal dimensions of fingertip defect that
is applicable to this technique. Between 2019 and 2021, 40 cases, aged 3-60 years (mean, 28.1 years), who hadMethods:
undergone fingertip reconstruction using a combination of the cross-finger flap and full thickness skin graft were
reviewed. The presence of fingertip and nail deformity and the results of the Semmes-Weinstein (S-W) monofilament
and static two-point discrimination tests were analyzed. Fingertip deformities were noted in 12 cases whereResults:
the defect was more than 50% of the Tamai zone I or extended to zone II. Mild nail plate deformity was found in 12 cases
with more than 40% of the nail bed defect. 8 out of these 12 cases presented with partial phalangeal tuft defects. 32
fingers were examined using the Semmes-Weinstein test, and their scores were between 2.83 and 4.31 in 20 fingers and
4.56 in 12 fingers. 24 were examined for static two-point discrimination, with 5 mm in 12, 6 mm in 4, and 10 mm in 2. The
color and contour of all donor fingers were almost typical. The combination of the cross-finger flap andConclusions:
full-thickness full thickness skin graft is applicable to around 50% of fingertip defect within the Tamai zone I, achieving a
satisfactory shape and regaining more than protective sensation.
Patients with burns to their hands require rehabilitation for their early return to work and good quality of life. The aim of
this study was to evaluate the effect of early intervention with occupational therapy in patients with burns to their hands.
This study included 60 patients with second or third degree hand burns. Patients were included to the study 2 weeks after their burn wounds and
grafted areas had healed. They had 3 occupational therapy sessions per week for 8 weeks. These sessions included active and passive range of
motion exercises, stretching exercises, active resistive exercises and practicing activities of daily living. Before and after the 8 weeks of
occupational therapy using the DASH questionnaire, functionality of the hand was assessed. Before intervention with occupational therapy, the
average DASH score was 62.5, and after 8 weeks of occupational therapy it was 30.4 (average difference between the pre-intervention and post-
intervention DASH scores is 32.1 points, p < 0.001). After 8 weeks of occupational therapy, patients performed daily living activities with
relatively very less difculty, and functionality of the hands was also increased. This study suggests that early intervention with rehabilitative
therapies is benecial and may result in improved hand function.
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