Secondary Healing of Fingertip Amputations: A Review

Krauss, Emily M.; Lalonde, Donald H.

doi:10.1007/s11552-014-9663-5

Cited by 56 publications

(63 citation statements)

References 33 publications

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“…It might be thought that passive hand would be more prone to laceration and the active dominant hand to cutting injuries, but both hands are at equal risk whatever the mechanism. 13 In our study finger injuries were commonly present among the fingers middle finger was most commonly injured single finger at 23.3% with terminal phalanx is most commonly injured bone in hand. The presentation to a hospital within 6 hours after injury was noted in about 49% cases reflecting the 108 Emergency Management and Research Institute services rampant in the city for easy and early first aid and quick transportation to the hospital.…”

Section: Discussionmentioning

confidence: 51%

“…The number of patients who presented with age group 1 to 10 years, 11 to 20 years, 21 to 30 years, 31 to 40 years, 41 to 50 years and 51years and above were of injury were 3, 17, 43, 48, 23 and 16 patients respectively. The percentage as follows 2% (1-10), 11.3% (11)(12)(13)(14)(15)(16)(17)(18)(19)(20), 28.6% (21-30),32% (31-40), 15.3% (41-50), 10.6% (>50). Majority of cases concentrated in the age group between 21 to 40 years (>60%) followed by age group of 41 years and above.…”

Section: Resultsmentioning

confidence: 99%

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Prospective study of hand injuries in Government Royapettah Hospital

Muthuram

Savitha

2020

Int Surg J

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Background: Hands often get injured and can be incapacitating the patient if care is not given properly. Injury to hand leads to loss of function as well as deformity of body image which can cause a lot of psychological consequences. The objective of the study was to analyze the pattern of hand injuries encountered and to compare the functional recovery at first and third month after appropriate management.Methods: Totally 150 consecutive patients presenting with history of injury to hand or hands following road traffic accidents, industrial accidents, assault etc. are selected based on non-probability sampling method appropriate preliminary radiological and blood investigations were done and appropriate management was carried out to analyze the final outcomes. Results: Out of 150 cases in our study fingers contributed 121 (80.6%) of cases followed by palmar and dorsum of hand in about 26 cases (17.3%), wrist and forearm injuries contributing about 3 cases (2%). In fingers most of injuries occurred in third finger 35 cases (23.3%) followed by F2-28 (18.6%), F4-21 (14%), F5-20 (13.3%), thumb-17 (11.3%). Most injuries were in the left hand. required secondary procedures.Conclusions: Early presentation of patients and unlikely prehospital involvement of traditional bone setters reflect the great importance attached to hand injuries. Promotion of safety measures in the workplace and homes and prevention of road traffic crashes would help in reducing the incidence of hand injuries.

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Section: Discussionmentioning

confidence: 51%

Section: Resultsmentioning

confidence: 99%

Prospective study of hand injuries in Government Royapettah Hospital

Muthuram

Savitha

2020

Int Surg J

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“…There are many treatments for amputated ngertip: wound care, revision amputation, in situ suture, replantation, ap repair and reconstruction [4,5]. The amputated ngertip with minor soft tissue defect and without bone exposure can be treated with wound care [1]. Revision amputation is a simple and practical method.…”

Section: Discussionmentioning

confidence: 99%

Improved Abdomen Hypodermic Embedding for Salvage of the Amputated Fingertip from Tip to Lunula (Tamai Zone Ⅰ)

Lu¹,

Wang²,

Liu³

et al. 2020

Preprint

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Background To explore the clinical efficacy of a new surgical approach called improved abdomen hypodermic embedding for salvage of the amputated fingertip from tip to lunula (Tamai zone Ⅰ). Methods From September 2015 to June 2017, we treated 18 fingertips from 15 patients with abdomen hypodermic embedding while all the fingertips were completely amputated and failed to vascular anastomose. After 3 weeks, all the fingertips were taken out from abdomen. After 6 months, outcomes were evaluated with DASH score and static two-point finger discrimination. Results 16 fingertips survived completely, 2 fingertips developed partial loss and scar healed by dressing change. All patients were satisfied with the appearance of the fingertips while one woman was not satisfied for ischemic atrophy. The DASH score ranged from 35-46 (average 38), static two-point discrimination was 6--14mm (average 8mm). Conclusions When vascular anastomosis is not feasible in fingertip replantation, improved abdomen hypodermic embedding is a simple and feasible operation for the amputated fingertip from tip to lunula.

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“…Fingertip injuries are common in clinical settings. The treatments of these problems are varied from operative approaches to non-operative approaches [13]. In this study, a new method for treating fingertip injury was introduced.…”

Section: Discussionmentioning

confidence: 99%

“…Toe-to-finger operations can be performed to reconstruct fingertips with nail and bone defects [14]. Although these flaps have many advantages, they also inevitably bring about some disadvantages, such as being technical demanding, requiring skin graft in donor site in most cases, scar formation of the incisions, and prolonged period of finger immobilisation with complication of joint stiffness [13].…”

Section: Discussionmentioning

confidence: 99%