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CC BY-NC-ND 4.0 · Revista Chilena de Ortopedia y Traumatología 2021; 62(02): e93-e98
DOI: 10.1055/s-0041-1735292
Original Article | Artículo Original

Reconstruction of Distal Finger Amputations in Children with Composite Autograft and Semi-Oclusive Dressing

Article in several languages: español | English
Manuel Alfonso Méndez 
1   Departamento de Ortopedia y Traumatología, Pontificia Universidad Católica de Chile, Santiago, Chile
,
Daniela Aguirre 
2   Departamento de Ortopedia y Traumatología, Clínica Las Condes, Región Metropolitana, Chile
,
Magdalena Méndez 
3   Escuela de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
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Abstract

The reconstruction of finger tip amputation in children is challenging. There are many procedures described to treat this injury, none of which present optimal results. Repositioning of the amputated segment as an autograft or with microsurgical techniques seems to offer the best outcome. It enables the preservation of otherwise irreplaceable structures, such as the nail bed and the hyponychium, thus enabling children to mantain an anatomically and functionally normal finger pulp. We present a series of three pediatric patients treated with a new technique, which combines composite autograft and semi-oclusive dressing (CASOD). The results observed so far have been promising.

Keywords

Finger tip amputation - children - reconstruction


Publication History

Received: 27 July 2020

Accepted: 02 June 2020

Article published online:
30 September 2021

© 2021. Sociedad Chilena de Ortopedia y Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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