TWO CASES OF SUCCESSFUL TREATMENT OF TRAUMATIC INJURIES OF THE VASCULAR NERVOUS BUNCHES OF THE FINGERS IN CHILDREN

Objective. As a working part of a human’s body, an instrument for self-service and social interaction, hand is amenable to trauma. In children, hand is an instrument mainly for perception of the environment. The most tragic type of trauma is amputation of upper extremity or it’s fingers. Clinical case. A 9-years old boy suffered from the right hand injury with chain saw. As a result child got an incomplete right ring finger amputation with both neurovascular bundles injury. A 2-years old boy got an injury of left ring finger because of rabbit bite. In both cases segments of fingers distal to the traumas had no capillary reflow. Both children underwent revascularization of injured fingers. Viability and function of fingers was assured. Discussion. According to literature data, digital replantation and revascularization success ratio averages 70- 100%. Children have proved advantages in tissue regeneration and postoperative rehabilitation in comparison with adults. Conclusion. Inspite of obvious difficulties in operation technique and postoperational care, attempts of revascularization of fingers in children must be done.

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