Problem of sensory loss in finger-tip injuries in the blind.
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Splinting of acute mallet finger injury is widely practiced. Few long term studies of the results have been published. We reviewed 156 mallet finger injuries after such treatment at 6 months and 61 months after injury. At six months the mean extension lag was 7 degrees and the mean range of active flexion was 61 degrees. After 61 months the extension lag was 5 degrees and active flexion was unchanged. In light of the above we do not consider routine long term follow of mallet finger injury to be necessary after treatment with splintage.
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We report two children with finger tip ischaemia resulting from woollen mittens. Ischaemia has progressed to gangrene and required amputation of the affected finger.
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In this retrospective study, 79 digits of 55 patients received 102 secondary procedures following replantation. We divided the procedures into two groups, occurring before or after 2 months following replantation. The procedures in the early group were mainly for soft tissue coverage (92%), and those in that late group were mainly for tendon (67%) to improve function. Factors associated with higher incidence of early secondary procedures included multiple-finger injury, avulsion or degloving injury and level of injury proximal to zone III in finger replantation (p<0.05). However, younger patients and those with proximal level replantation in fingers had more late secondary procedures (p<0.05). Flexor tenolysis procedure significantly improved the digital function after replantation (p<0.05).
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