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Forum Name: Bone trauma and fractures

Question: 16 month old baby-Broken fingures


 vinod2109 - Sun Jun 20, 2010 11:38 am

Hi,
My brother's 16 months old baby had an accident.The baby's left hand fingures(all the four fingures except the thumb) were cut off (to be more specific the top part of the fingures with nails was cutoff)and the doctors basically said they cannot attach the cut portion of fingures back at this stage because the baby is too young for this.
And currently they(doctors) have perofrmed a surgery to attach the cut portion of the fingure to the stomach(They basically said the blood flow in the stomach will help the wound heel faster and will also help mold the fingures).
My question is, what are our options to get the baby back to normal(atleast close to normal).Is there any plastic surgeries available for this ,perhaps in the future when the baby grows to acertain age ? any ideas or suggestions are greatly appreciated.Currently the baby has only the 3/4 of the fingures only.

Thank you very much
Vinod
 Tom Plamondon PA-C - Tue Jun 22, 2010 2:19 pm

User avatar Hello,
I understand that the distal fingers will not be re-attached and the treatment currently is to heal the amputations.
Functionally, the child will be able to use the hand to grasp objects albeit with gross motors skills better than fine motor skills (e.g. pinching, sorting fine objects).
As the child grows, he will reach a limit of bone growth and thus skin, ligament and tendon length. Any further reconstruction or revisions will be determined over time as the child grows.
As long as their is good initial healing and no complications of infection, there should be adequate functional restoration.

Take care.

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