A comprehensive study of fingertip injuries at a tertiary care centre- fingertip injury outcome score subset pilot

Soujanya M.; Darshansingh Rajput

doi:10.18203/issn.2455-4510.IntJResOrthop20243453

Authors

Soujanya M. Department of Plastic and Reconstructive Surgery, Senior Resident, Jawaharlal Nehru Medical College, KAHER, Belgaum, Karnataka India
Darshansingh Rajput Department of Plastic and Reconstructive Surgery, Senior Resident, Jawaharlal Nehru Medical College, KAHER, Belgaum, Karnataka India

DOI:

https://doi.org/10.18203/issn.2455-4510.IntJResOrthop20243453

Keywords:

Fingertip injury, Fingertip injury outcome score, Outcome measurement, Functional recovery, Aesthetic outcomes

Abstract

Background: Fingertip injury outcome score (FIOS) is a specialized tool designed to assess functional and aesthetic outcomes after treatment of fingertip injuries. It helps both clinicians and researchers evaluate the effectiveness of treatment strategies and monitor patient recovery. This pilot study aims to evaluate the feasibility and effectiveness of a customized FIOS tool using retrospective fingertip injuries data from the hospital, before broader implementation

Methods: A retrospective analysis of 58 hand injury patient’s data admitted in hospital with fingertip injuries having tissue loss, between January 2023 and February 2024. A customized FIOS tool, focusing on specific aspects such as complications, aesthetic outcome, patient satisfaction, ability to perform daily tasks and pain, was applied to the collected data. Data analyzed to evaluate how well the FIOS outcome score reflected patient outcomes and clinical findings.

Results: The customized FIOS effectively captured key aspects of fingertip injury outcomes, including pain levels, functional recovery. 7% had poor outcome score and 80% of those with poor outcomes suffered injuries from the heavy instruments with complications like revision surgery. 22% of the patients had excellent outcome scores, 53.4% had good aesthetic outcome score.

Conclusion: This pilot study demonstrates that using a customized FIOS tool with retrospective data is a viable approach for evaluating fingertip injury outcomes. The findings suggest that the FIOS subset can provide valuable insights into functional and aesthetic recovery. This approach facilitates seamless data capture, minimize duplicated efforts, and reduce errors and discrepancies.

Metrics

Metrics Loading ...

References

Kawaiah A, Thakur M, Garg S, Kawasmi SH, Hassan A. Fingertip Injuries and Amputations: A Review of the Literature. Cureus. 2020;12(5):82-91.

Satku M, Puhaindran ME, Chong AKS. Characteristics of Fingertip Injuries in Children in Singapore. Hand Surg. 2015;20(03):410–4.

Finger nail and tip injuries: overview, anatomy, treatment considerations/history and examination. Available at: https://emedicine.medscape.com. Accesssed on 16 August 2024.

Abebe MW. Common causes and types of hand injuries and their pattern of occurrence in Yekatit 12 Hospital, Addis Ababa, Ethiopia. Pan Afr Med J. 2019;33:142.

Samantaray SA, Oommen J, Thamunni CV, Kalathingal K, Koyappathody HM, Shet SM, et al. Fingertip injury epidemiology: an Indian perspective. J Plas Surg Hand Surg. 2022;56(4):224–8.

Moellhoff N, Throner V, Frank K, Benne A, Coenen M, Giunta RE, et al. Epidemiology of hand injuries that presented to a tertiary care facility in Germany: a study including 435 patients. Arch Orthop Trauma Surg. 2023;143(3):1715–24.

Singhal H, Singh N, Gupta A, Meena DS. Finger-tip injuries: a study on functional outcomes of various methods of treatment. Int J Res Orthop. 2020;6(4):767.

Keller MM, Jordaan PW. Traumatic hand injury management and outcomes: A case report. S Afr Fam Pract (2004). 2022;64(1):5479.

Martin-Playa P, Foo A. Approach to fingertip injuries. Clinics in plastic surgery. 2019;46(3):275-83.

Spyropoulou GA, Shih HS, Jeng SF. Free pulp transfer for fingertip reconstruction—the algorithm for complicated Allen fingertip defect. Plastic and Reconstructive Surgery–Global Open. 2015;3(12):584.

Means KR, Saunders RJ. Understanding and Measuring Long-Term Outcomes of Fingertip and Nail Bed Injuries and Treatments. Hand clinics. 2021;37(1):125-53.

Jerome JTJ, Malshikare VA. Fingertip injuries outcome score. Plast Reconstr Surg Glob Open. 2022;10(6):4386.

Jaiswal S, Shrestha OP, Regmi S. Epidemiology and management of motorbike chain-related fingertip injuries: A retrospective study at B&B Hospital, Kathmandu, Heliyon. 2024;10(5):35606.

Hostetler SG, Schwartz L, Shields BJ. Characteristics of pediatric traumatic amputations treated in hospital emergency departments: United States, 1990-2002. Pediatrics. 2005;116(5):667-74

Chakraborty SS, Kala PC, Sahu RK, Dixit PK, Katrolia D, Kotu S. Fingertip amputation reconstruction with VY advancement flap: literature review and comparative analysis of atasoy and kutler flaps. World J Plast Surg. 2021;10(2):8-17.

Elshishtawy K, Mahmoud W, Mousa G, Ayad H. Functional and Aesthetic Outcome of Fingertip Injuries’ Management. The Egypt J Plas Reconstr Surg. 2020;43(3):549–55.