Costs, risks, and benefits of hand surgery

Hand Injuries in the State of Florida, Are Centers of Excellence Needed?

“…Each center would require additional financial support to provide for this cost. [23][24][25][26][27] On the average, 462 amputation injuries are seen per year in Florida, and approximately 74 replantation surgeries are performed yearly. The main complaint voiced during several Committee on Trauma meetings has been limited availability of specialized hand surgery services and a difficult time-consuming process involved in identifying the available surgical centers.…”

A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation

“…Overall, mean total active motion (TAM) was 93 ± 8% of normal (n=6 studies), ranging from 70–99%. 17,40 Revision amputation (n=2) outperformed local flaps (n=5) in preservation of TAM (95% versus 90 ± 9% of normal, respectively). Among local flaps, homodigital flaps resulted in better TAM than heterodigital flaps (93 ± 2% versus 86 ± 11% of normal).…”

“…Of the 1659 titles that underwent abstract and article review, 43 studies met our inclusion and exclusion criteria. 17–62 The majority of studies were either prospective or retrospective analyses; two studies were cross-sectional investigations 26–27 (Table 2). The studies were divided into four groups: local flaps used with revision amputation (n=29), revision amputation alone (n=10), skin grafting (n=3), and conservative treatment (n=10).…”

“…Six studies presented outcomes in multiple treatment groups. 17–25 The majority of studies (n=18) were published in Europe and account for 42% of the 43 studies, while less than 20% of studies (n=8) originated from the United States. Three studies were from Africa, one study was from Israel, and one was from Australia (Table 2).…”

“…14–16 Consequently, our understanding of this patient population is inadequate. Given the immense burden these injuries have on patients and healthcare systems worldwide, 9,17–19 we must strive to improve our understanding of patients who undergo these procedures.…”