Digital avulsion injuries: epidemiology and factors influencing finger preservation

Doğruyol

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

2022

This study aimed to examine the characteristics of traumatic minor digital amputations in patients presenting to the emergency department, who were candidates for replantation and revascularization and to discuss the clinical outcomes of these patients. Upper extremity total/subtotal amputation cases presenting to Private Erzurum Buhara Hospital emergency department between January 1, 2018, and January 1, 2021, were retrospectively evaluated. The demographic characteristics, occupational status, etiology and type of injury, localization and level of injury, time to arrive at hospital and undergo surgery, length of hospital stay, and survival outcomes were recorded for a total of 134 patients. Of the patients, 88.1% were male, and the mean age was 36.45±20.87 years. Injuries were most commonly seen in those working in agriculture, at a rate of 61.4%. The most common injury type was avulsion (45.5%). The most common specific cause (16.4%) was related to throttle belt use. The mean time from the time of injury to arrival at the emergency department was calculated as 2.51±1.88 hours. It was found that, the survival rate was 71.6% for all the patients and 75.9% for the pediatric patients alone. In conclusion, it is found that the survival rate was higher in guillotine type injuries and in pediatric patients. It is determined that different mechanisms were involved in the etiology of these minor digital amputation cases due to the geographical region where the study was conducted. It is consider that it can be a guide for informing people working in agriculture in this region, and thus reducing the incidence of similar traumas.

Section: Resultssupporting

confidence: 91%

Üst Ekstremite Yaralanmalarına Bağlı Gelişen Dijital Amputasyonlar: Acil Servise Başvuran Hastaların Geriye Dönük Analizi

Doğruyol

Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi

2022

Plastic and Reconstructive Surgery - Global Open

“…Previous reports 4,5 have recommended amputation for more severe avulsion injuries but we find that good functional outcomes can be achieved for more severe types with a reparative approach. 6 In the following article, we share techniques critical to achieving good results when salvaging these digits, illustrated by a case performed by the senior author (Fig.…”

Section: Introductionmentioning

confidence: 54%

Practical Techniques to Ensure Success in Digital Ring Avulsion Injuries

Gardiner

Friebel

Bray

et al. 2021

Summary: A ring avulsion results from a longitudinal traction to a digit. We discuss practical microsurgical techniques essential in achieving good functional outcomes in these challenging cases, including aggressive debridement of the affected tissues and vessels, liberal use of vein grafts and arterialized venous flow through flaps when needed, and a meticulous microsurgical technique. We have found that patient selection is key in digit salvage and a good outcome is often achieved with the winning triad of optimal patient factors, surgical factors, and intensive hand therapy. We also include a case performed by our senior author to illustrate what can be achieved.

“…Ring avulsions are common in young males, manual workers, occurring after climbing over a fence, getting caught or less frequently falling down the stairs (2). They usually involve one finger (ring finger most often) (3).…”

Section: Discussionmentioning

confidence: 99%

Ring Avulsion Injuries: About Three Cases And Review of the Literature

Ghoul¹,

Salah²,

Zaddoug³

et al. 2022

ABCMed

Ring avulsions are rare and represent a wide variety of soft tissue and bone injuries, ranging from circumferential lacerations with or without vascular involvement to complete amputations. Treatment options are variable and depend on the injury pattern as well as functional and aesthetic requirements. We hereby report three cases of ring avulsions in three young males; all classified Urbaniak III, two treated with a revision amputation and the other with intrapalmar ray resection. In last follow-up of 12 months, the three patients were satisfied with cosmetic as well as functional results.