Abstract:
Background. Traumatic hand injury represents one of the greatest distressing injuries. Severe hand
injuries are related to high efforts for surgical and functional reconstructions to accomplish a satisfactory
functional and aesthetic result. Objective of the study. The study was designed to mark the aesthetic
importance in the practice of reconstructive surgery on the operated hand, in terms of the correlation
between the severity of injuries and the postoperative aesthetic result. Material and Methods. In this
retrospective study, we evaluated 175 patients with severe hand injuries in the Clinic of Plastic Surgery
at IMU Hospital. The sample included 107 men, 68 women, aged between 15-60 years. Hand injuries
were on the phalanges in 115 cases, in the metacarpal region 32, at the level of the carpus 23 and in 5
cases was extended on entire surface of the hand. Results. In the current study we examined the
correlation between the hand injury severity scoring system and the quality of life of the pacient in terms
of aesthetics associated with functional outcome and psychological impact. The study showed that
psychological impact of the event, satisfaction of apperance and hand function were found to be
correlated to low indicator of injury. Conclusion. The attempt to preserve both the function and the
aesthetic aspect in each group of injuries with a high HISS score requires a lot of effort, time, major
costs and technique. The increase of the quality of life, the integration in the society, as well as the desire
for recovery rise gradually. Background. Traumatic hand injury represents one of the greatest distressing injuries. Severe hand
injuries are related to high efforts for surgical and functional reconstructions to accomplish a satisfactory
functional and aesthetic result. Objective of the study. The study was designed to mark the aesthetic
importance in the practice of reconstructive surgery on the operated hand, in terms of the correlation
between the severity of injuries and the postoperative aesthetic result. Material and Methods. In this
retrospective study, we evaluated 175 patients with severe hand injuries in the Clinic of Plastic Surgery
at IMU Hospital. The sample included 107 men, 68 women, aged between 15-60 years. Hand injuries
were on the phalanges in 115 cases, in the metacarpal region 32, at the level of the carpus 23 and in 5
cases was extended on entire surface of the hand. Results. In the current study we examined the
correlation between the hand injury severity scoring system and the quality of life of the pacient in terms
of aesthetics associated with functional outcome and psychological impact. The study showed that
psychological impact of the event, satisfaction of apperance and hand function were found to be
correlated to low indicator of injury. Conclusion. The attempt to preserve both the function and the
aesthetic aspect in each group of injuries with a high HISS score requires a lot of effort, time, major
costs and technique. The increase of the quality of life, the integration in the society, as well as the desire
for recovery rise gradually. Background. Traumatic hand injury represents one of the greatest distressing injuries. Severe hand
injuries are related to high efforts for surgical and functional reconstructions to accomplish a satisfactory
functional and aesthetic result. Objective of the study. The study was designed to mark the aesthetic
importance in the practice of reconstructive surgery on the operated hand, in terms of the correlation
between the severity of injuries and the postoperative aesthetic result. Material and Methods. In this
retrospective study, we evaluated 175 patients with severe hand injuries in the Clinic of Plastic Surgery
at IMU Hospital. The sample included 107 men, 68 women, aged between 15-60 years. Hand injuries
were on the phalanges in 115 cases, in the metacarpal region 32, at the level of the carpus 23 and in 5
cases was extended on entire surface of the hand. Results. In the current study we examined the
correlation between the hand injury severity scoring system and the quality of life of the pacient in terms
of aesthetics associated with functional outcome and psychological impact. The study showed that
psychological impact of the event, satisfaction of apperance and hand function were found to be
correlated to low indicator of injury. Conclusion. The attempt to preserve both the function and the
aesthetic aspect in each group of injuries with a high HISS score requires a lot of effort, time, major
costs and technique. The increase of the quality of life, the integration in the society, as well as the desire
for recovery rise gradually. Introducere. Traumatismele mâinii reprezintă una dintre cele mai mari suferințe. Reconstrucțiile
chirurgicale sunt critice și necesită iscusința chirurgului pentru păstrarea structurii anatomice, funcției
și importanța esteticului. Scopul lucrării. Studiul a fost conceput pentru a marca importanța estetică în
practica chirurgiei reconstructive asupra mâinii operate din prisma corelației dintre gravitatea leziunilor
și rezultatului estetic postoperator. Material și Metode. Studiu de tip observațional s-a desfășurat în
Clinica de Chirurgie Plastică în Institutul de Medicină Urgentă. Eșantionul a cuprins 175 pacienți cu
tramatisme mutilante. Bărbați 107, femei 68, cu vârsta de la 15-60 ani. Leziunile au fost pe falange în
115 cazuri, în regiunea metacarpiană 32, la nivelul carpului 23 și în 5 cazuri pe întreaga suprafață a
mâinii. Rezultate. Studiul s-a exat pe examinarea relației dintre severitatea traumei la mâina operată și
modificarea calității vieții pacientului prin prisma esteticului corelat cu impactul funcțional și
psihologic. Studiul a demonstrat legătura atât dintre satisfacția imaginii, cât și a funcției mâinii operate,
corelate cu indicatorul mic al injuriei. Concluzii. Încercarea de a păstra atât funcția, cât și aspectul
estetic în fiecare grup de patologii necesită mult efort. Valoarea înaltă a scorului HISS solicită timp,
costuri majore și tehnică de performanță. Sporirea calității vieții, integrării în societate și dorința de
recuperare cresc gradual.