Resumen

BLANCO PLACENCIA, Héctor  y  PEREDA, Osvaldo. Local flaps in the emergency treatment of distal amputations of the fingers. Rev Cubana Ortop Traumatol [online]. 2000, vol.14, n.1-2, pp. 41-45. ISSN 1561-3100.

A prospective study was carried out among 48 patients with distal amputations of 76 fingers of the hands treated at the Emergency Department of “Dr. Carlos J. Finlay” Military Central Hospital during 2 years in order to evaluate the efficiency of 3 types of local flaps in the immediate treatment of these injuries. Most of the patients were between 50 and 60 years old and the non-dominant hand and the thumb and index fingers prevailed in them. 43.42 % were treated by Atasoy’s flap technique. The result was excellent or good in 72.3 % of the cases. Complications were observed in 28.94 % of the treated fingers. The static sequela followed by sepsis, the painful scar and the ungual deformity were the most frequent complications. The results were analyzed and discussed, as well as the complications. Conclusions were reached in relation to the particular analysis in our series of cases and the experience derived from them.

Palabras clave : AMPUTATION; AMPUTEES; HAND INJURIES/ [surgery]; FINGER INJURIES [surgery]; THUMB [injuries]; SURGERY, PLASTIC; SURGICAL FLAPS.

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