Digital Post Traumatic Replantation: Experience of Ibn Sina University Hospital

Digital amputations are common. They are mainly due to work related accidents and they are a real case of replantation emergency which must obey to well-established rules. The development of microsurgery has increased the success rate of these interventions. In this article; we report on our experience with a retrospective study of 18 single-finger replantations performed over a period of seven years in the department of plastic and hand surgery; in Ibn Sina teaching hospital in Rabat. Despite the problems such as the delay of medical transport and lack of emergency equipment; 16 fingers have been successfully replanted with acceptable functional and aesthetic result

Evaluation de la mobilite active des doigts par la cotation de la distance pulpo-palmaire exprimee en travers de doigts

L'evaluation de la mobilite des doigts est realisee classiquement par des methodes exigeant l'utilisation des instruments comme goniometre ; latte graduee et autres. La disponibilite de ces instruments dans les structures medicales non specialisees et la competence des medecins praticiens generalistes a les utiliser correctement ne sont pas evidentes. Le but de la presente etude est de proposer une methode qui utilise les seuls doigts du patient comme outil de mesure; sans aucune intervention instrumentale.Quatre cents sujets de la population de Mbujimayi en R.D. Congo (196 de sexe masculin et 204 de sexe feminin) ont ete examines dans cette etude qui a consiste a mesurer la largeur des doigts et les angles des articulations des doigts a differents degres de flexion

Finger nail plate shape and size for personal identification­a possible low technology method for the developing world-Preliminary report

There is much documented information on abnormal fingernail shapes- acquired or congenital. There is a dearth of information on the shapes of the clinically healthy fingernail in medical textbooks and scientific journals. A study was carried out to determine the possible shapes of the healthy fingernails and the prevalence of each shape in the locality, i.e. in Ibadan, south-western Nigeria and to consider if there would be enough diversity in the shapes and sizes and their distribution on the different fingers to merit consideration for personal identification. The population included 496 consenting individuals, four family units and four sets of monozygotic twins. The latter two population samples were studied to assess the combinations possible within families and in monozygotic twins. Seven gross fingernail shapes were identified in the study population. Examination showed variations within members of the families i.e. no two members had identical shapes in the pair of hands. Examination of 4 sets of identical twins showed no difference in the shapes and sizes of the fingernails on each finger. It would appear that the finger nail plate shapes /sizes of the hands show diversities similar to finger prints and therefore can be considered and developed further for personal identification in developing countries such as Africa