The study of incidences of thumb’s trauma in lesional complex of the hand

Plastic, Reconstructive and Microsurgery Clinic, State University of Medicine and Pharmacy ”Nicolae Testemițanu” Republic of Moldova, Al VIII-lea Congres Naţional de Ortopedie și Traumatologie cu participare internaţională 12-14 octombrie 2016Introduction: The increased incidence of hand trauma injuries ranks first in the human body. This continually stimulates surgeons ingenuity to find new performant ways in reconstructive methods. Although, they are facing, on the one hand, with complex hand’s anatomy complex and, on the other hand, with the obligation to preserve the integrity of the nervous, vascular and tendon system, however, it is real the possibility of a complex reconstruction with similar tissues without creating significant defects. Purpose: Distribution of thumb’s lesional incidence in hand’s trauma complex and items separation detected depending on the surface and levels of digital beam. Material and methods: In this paper we included a group of 460 patients treated during the 2015 year. The age limits were between 19-70 years, divided into categories of 10 years. The sex ratio of the 79 patients with thumb injury was: 69 (87.34%) men and 10 (12.66%) women. Frequency of trauma registered in left member - 40 (50.34%), was higher than in the right one - 39 (49.67%). 79 (17.17%) patients from total group have suffered thumb’s trauma, including: separate thumb - 46 (58.22%) and in complex with other fingers - 33 (41.78%). In thumb’s trauma, according to segments, were included patients treated in hospital. Proximal phalanx was found to be most traumatized - 39 (49.36%) cases, followed by the distal phalanx - 37 (46.83%) cases and only in 3 (3.79%) cases have suffered both phalanges. Results: incidents of separate thumb’s trauma are met at 46 (58.22%) patients and in complex with other fingers in 33 (41.78%) patients, which constitutes in the ensemble of hand’s trauma 17.17%. Processing of obtained material denotes prevalence of incidence of thumb’s distal phalanx, but not the severity that manifests more pronounced as it progresses toward its base. This dictated the treatment’s management and complexity of performed surgery. Conclusion: Thumb’s injuries in complex of hand’s trauma are more often met as a separate trauma than in association with other fingers of the hand, with a prevalence in men, and left upper limb is affected with a slightly increased incidence