title: Paediatric fingertip composite grafts: Do they all go black?
abstract: BACKGROUND
  Fingertip injuries are amongst the most frequently seen hand injuries in the paediatric population. The present study evaluated the composite graft survival rate in distal digital amputations with respect to injury type, amputation level and time to surgery.
  
  
  METHODS
  We performed a retrospective review of patients who underwent composite grafting of fingertip injuries over an 11-year period at a paediatric hospital. All children who underwent non-vascularized replantation of amputated fingertips were included. Patients were excluded if they failed to attend at least one follow-up appointment. Demographic information was recorded. The nature and level of injury and time to surgery was also recorded. Graft viability was characterized as no take, partial take, or complete take. The number of secondary procedures and number and duration of follow-up appointments were recorded.
  
  
  RESULTS
  A total of 105 patients underwent fingertip composite grafting, of whom 96 were suitable for inclusion in this study. The median age was 2.4 years (0-16 years); there were 48 boys (46%) and 57 girls (54%). Thirty-one patients had no graft take (32%), 50 patients had partial take (52%) and 15 patients had complete take (16%). Only two patients underwent secondary revision (2%). The median number of follow-up appointments was 4, and the mean follow-up time was 68 days. Time to surgery or level of amputation did not have a statistically significant influence on outcome.
  
  
  CONCLUSIONS
  Over two-thirds of composite grafts in children showed some degree of take, albeit partially in the majority. Morbidity was low, and most children did not require further surgery.
authors.affiliation: Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia.
authors.forename: Adrian D
authors.initials: AD
authors.lastname: Murphy
authors.affiliation: Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia.
authors.forename: Cameron P
authors.initials: CP
authors.lastname: Keating
authors.affiliation: Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia.
authors.forename: Anthony
authors.initials: A
authors.lastname: Penington
authors.affiliation: Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia.
authors.forename: David
authors.initials: D
authors.lastname: McCombe
authors.affiliation: Department of Plastic & Maxillofacial Surgery, Royal Children's Hospital, 50 Flemington Rd, Melbourne, VIC 3052, Australia; Department of Paediatrics, The University of Melbourne, Royal Children's Hospital, Melbourne, VIC 3052, Australia. Electronic address: Chris.coombs@rch.org.au.
authors.forename: Chris J
authors.initials: CJ
authors.lastname: Coombs
mesh_terms: D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000601:surgery*; D005500:Follow-Up Studies; D006085:Graft Survival; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D008866:Microsurgery / Q000379:methods*; D012092:Replantation / Q000379:methods*; D012189:Retrospective Studies
keywords: Composite graft; Fingertip; Hand injury; Paediatric