EVALUAREA IMPACTULUI STRUCTURAL ȘI FUNCȚIONAL ÎN TRAUMATISMELE MAINII CAUZATE DE EXPLOZII ALE ARTIFICIILOR SI PETARDELOR

Abstract

Although hand trauma produced by firecrackers explosion has a small incidence, their increased frequency in a very short period of time represents a challenge for the plastic surgeon and a redoubtable public health problem. We analysed the pattern of injury, the available reconstruction methods, and the resources needed for the social reintegration. This retrospective study analysed 29 cases of hand trauma caused by firecrackers/fireworks explosion in the New Year period of the last 2 years. The data analysis shown that it was involved: a) mainly the dominant upper limb; b) the thumb (in all the cases); c) the three digital pinch elements; d) a concomitant the soft tissues damage. As surgical procedures, it was performed in every case the suture after debridement and at least one procedure of reconstruction with skin grafts and local plasties. Distal pedicled flap were used rarely for digital and soft tissues reconstruction. The study emphasized the continuous and progressive growth, in the last years, of this type of trauma incidence, worsening of situation in terms of lesions and the negative economic impact on the public health system.