Comparison of the Functional and Aesthetic Outcomes of Thenar, V-Y Advancement and Cross Finger Flap in Management of Fingertip Injuries in Children with Exposed Bone

Dr. Pooja Gupta, Dr. Gourav Siwas, Dr. Anubhav Gupta

Abstract: Fingertip injuries in pediatric patients can have significant functional and aesthetic implications if not managed properly. This study aimed to compare the functional and aesthetic outcomes of fingertip injuries with exposed bone in children treated with thenar flap, V-Y advancement flap, or cross finger flap. Fifty inpatients aged 8-18 years with fingertip injuries were included in the study. Clinical evaluations, including wound healing time, sensation recovery, functional recovery, range of motion, and two-point discrimination, were conducted during follow-up visits. Aesthetic outcomes such as color match, texture, shape of the tip, and appearance of the nail were also assessed. Patients were followed up for a minimum of three months and then after six months. In conclusion, the V-Y advancement flap demonstrated shorter recovery time, better range of motion, and lower donor site morbidity. However, it was limited to smaller defects. The thenar and cross finger flaps were more suitable for larger defects. This study provides valuable insights into the selection of flap techniques for managing fingertip injuries in children.

Keywords: Fingertip injuries, Thenar flap, Cross finger flap, V-Y advancement flap, Hand surgery