The use of prophylactic antibiotics in treatment of fingertip amputation: a randomized prospective trial

Rubin, Guy; Orbach, Hagay; Rinott, Micha; Wolovelsky, Alejandro; Rozen, Nimrod

doi:10.1016/j.ajem.2015.02.002

Cited by 10 publications

(2 citation statements)

References 14 publications

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“…For nontraumatic infections, data suggest antibiotic prophylaxis may not decrease infection rates in these patients. 35,36 Interestingly, a study by Azarbal et al 37 aimed to investigate the correlation between nasal methicillin-resistant Staphylococcus aureus (MRSA) colonization and other patient factors with wound occurrence following major lower extremity amputation. The study found MRSA colonization was associated with higher rates of overall wound occurrence as well as wound occurrence due to wound infection.…”

Section: U T I S D O N O T C O P Ymentioning

confidence: 99%

Wound Healing: Cellular Review With Specific Attention to Postamputation Care

Kirwin

2024

Cutis

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Wound healing in adults is a complex dynamic process that usually takes the greater part of 1 year to completely resolve and is marked by the end of scar formation.• Postamputation residual limbs are subject to mechanical and biophysical stress to which the overlying skin is not accustomed. Skin treatment aims at mitigating these stresses.• The major dermatologic barriers to successful wound healing following amputation include infection, skin breakdown, formation of chronic wounds and granulation tissue, heterotopic ossification, and hyperhidrosis.

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Section: U T I S D O N O T C O P Ymentioning

confidence: 99%

Wound Healing: Cellular Review With Specific Attention to Postamputation Care

Kirwin

2024

Cutis

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“…In the study, 29 patients were randomly assigned to the no-antibiotic group and 27 to the antibiotic group, but at follow-up, there was no infection in either group. (15) Dressing is changed every 3 days in the first week and then once weekly. (Figure 14, 15) The removal of the suture and the needle is done on outpatient basis at 3-4 weeks.…”

Section: Operative Proceduresmentioning

confidence: 99%

Outcomes of tension band suturing modified with needle fixation in dorsal fingertip injuries

Kewat¹

2020

Int. J. Orthop. Sci.

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Background: Injuries to the dorsal elements of the fingertip arise both out of occupational and nonoccupational causes leading to considerable morbidity. The increasing use of mechanized tools both at home and work has also contributed to an increase in such injuries. The management of such injuries involves protecting the nail bed, achieving effective wound healing and return to pre-injury employment. Methods: Fifty-eight patients were included in this study. All the patients were managed on out-patient basis with tension band suturing (TBS). Instead of a K-wire, an 18G needle was used. Patients requiring general anesthesia, loss of nail, with amputations of the volar pulp and associated injuries of the same limb were excluded from the study. Epidemiological data such as type of injury (occupational or nonoccupational), demand type (high-demand type or low-demand type) and time taken to achieve pre-injury employment was collected. Results: The average time to suture and implant removal was between three to four weeks. Two patients required early removal due to infection. All patients resumed their pre-injury occupation. Epidemiological results can be enumerated as follows. 1.Mean age -31.74 years 2.Occupational injury vs. Non-occupational injury (36 vs. 22) 3.High demand type vs. Low demand type (38 vs. 20) and 4.Time off work in High demand type vs. Low demand type (38.21 days vs. 33.35 days). Conclusion:The technique of tension band suturing is an efficient outpatient treatment method. The use of an 18 G needle instead of a K-wire provides good results, avoids the need of mechanized drills and provided a suitable alternative in centers with limited resources. The time off work depends on the patient's occupation and ranges from 33.35 days to 38.21 days. All patients returned to their pre-injury employment.

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Fingertip Injuries and Tuft Fractures in the Pediatric Population

Gottschalk,

McHorse

2023

Pediatric and Adult Hand Fractures

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The use of prophylactic antibiotics in treatment of fingertip amputation: a randomized prospective trial

Cited by 10 publications

References 14 publications

Wound Healing: Cellular Review With Specific Attention to Postamputation Care

Wound Healing: Cellular Review With Specific Attention to Postamputation Care

Outcomes of tension band suturing modified with needle fixation in dorsal fingertip injuries

Fingertip Injuries and Tuft Fractures in the Pediatric Population

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