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Fingertip Amputation Repair

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1. Fingertip Amputation Repair

Fingertip Amputation Repair Fingertip Amputation Repair Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fingertip Amputation Repair (...) Fingertip Amputation Repair Aka: Fingertip Amputation Repair , V-Y Plasty II. Indications: Fingertip Amputation Dorsal Plane Zone II More finger nail avulsed than pulp Transverse Plane Zone II Equivalent amounts of finger nail avulsed as pulp III. Contraindications Volar Plane Zone II More fingertip pulp avulsed than finger nail IV. Efficacy Preserves finger tip padding and contour Most patients re-establish Good cosmetic result with minimal scar V. Technique: Step 1 Preparation Anesthesia with Elevate

2018 FP Notebook

2. A case of dorsal oblique fingertip amputation Full Text available with Trip Pro

A case of dorsal oblique fingertip amputation This study reports successful finger replantation in a patient with a dorsal oblique fingertip amputation. When repairing this unique type of injury, an evaluation of the remaining vessels is more useful for successful replantation than the anatomical zone classification. We propose that Kasai's classification is appropriate for guiding treatment.

2017 Case Reports in Plastic Surgery & Hand Surgery

3. Fingertip Amputation

granulation tissue Topical antibiotic ointment for moist Zone II Fingertip Amputation Dorsal Plane Amputation (angled toward finger dorsum) More nail bed avulsed than pulp Consider repair with Transverse Plane Amputation (perpendicular to finger) amounts of nail bed and pulp avulsed Consider repair with Volar Plane Amputation (angled toward volar finger) More pulp avulsed than nail bed Do not use for this avulsion Zone III Fingertip Amputation Amputate distal phalanx VII. References Hori (2015) Crit Dec (...) Fingertip Amputation Fingertip Amputation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fingertip Amputation Fingertip Amputation

2018 FP Notebook

4. Composite Graft Repair for Distal Fingertip Amputation Full Text available with Trip Pro

Composite Graft Repair for Distal Fingertip Amputation 23457658 2013 03 05 2019 02 26 1937-5719 13 2013 Eplasty Eplasty Composite graft repair for distal fingertip amputation. ic32 Alper Netanel N Division of Plastic Surgery, Department of Surgery, New Jersey Medical School-UMDNJ, Newark, NJ. Sood Aditya A Granick Mark S MS eng Case Reports 2013 02 18 United States Eplasty 101316107 1937-5719 2013 3 5 6 0 2013 3 5 6 0 2013 3 5 6 1 ppublish 23457658 PMC3581123 Ann Plast Surg. 2003 Mar;50(3):299

2013 Eplasty

5. The fate of delayed revascularization for neglected vascular injury of incompletely amputated digits and hands. (Abstract)

The fate of delayed revascularization for neglected vascular injury of incompletely amputated digits and hands. We report the fate of neglected vascular injury in cases of incomplete amputation of the digits and hand after delayed revascularization. Twelve patients underwent primary bone fixation, tendon or skin repair for hand injuries without vessel repair despite ischaemic findings. There was discoloration or necrosis of the fingertips during follow-up examination and the patients were (...) referred to us for treatment. The mean warm ischaemic time was 53 hours (range 17-120). Delayed revascularization was performed with end-to-end anastomosis of the digital arteries in eight and vein graft in four cases. Digital nerves were repaired in four cases and flexor tendons in two cases. Of the 12 cases, eight cases showed complete survival. However, in four patients, complete necrosis of the fingers occurred, with one finger surviving partially. Revision amputation was performed in the four

2019 Journal of Hand Surgery - European

6. Fingertip Amputation Repair

Fingertip Amputation Repair Fingertip Amputation Repair Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fingertip Amputation Repair (...) Fingertip Amputation Repair Aka: Fingertip Amputation Repair , V-Y Plasty II. Indications: Fingertip Amputation Dorsal Plane Zone II More finger nail avulsed than pulp Transverse Plane Zone II Equivalent amounts of finger nail avulsed as pulp III. Contraindications Volar Plane Zone II More fingertip pulp avulsed than finger nail IV. Efficacy Preserves finger tip padding and contour Most patients re-establish Good cosmetic result with minimal scar V. Technique: Step 1 Preparation Anesthesia with Elevate

2015 FP Notebook

7. Interventions for treating fingertip entrapment injuries in children. Full Text available with Trip Pro

Interventions for treating fingertip entrapment injuries in children. Fingertip entrapment injuries, which involve lacerations to the pulp and nail and often a fracture of the underlying bone, commonly occur in children, usually as the result of a crushing injury. Treatment is either conservative (wound cleaning and fingertip dressing)or surgical (repair of lacerations, reduction and stabilisation of fractures); however, no consensus currently exists regarding the most appropriate treatment (...) of the evidence for the reported outcomes was judged to be 'low' using the GRADE approach (i.e. further research is very likely to have an important impact on our confidence in the estimate of the effect and is likely to change the estimate).One trial compared a seven-day course of antibiotics with no antibiotics after formal surgical repair of fingertip entrapment injuries.One child in each group had an infection at day seven (1/66 antibiotic group versus 1/69 no antibiotic group; RR 1.05, 95% CI 0.07

2014 Cochrane

8. Kutler repair for the amputated fingertip. Full Text available with Trip Pro

Kutler repair for the amputated fingertip. Fingertip amputation is a common injury. Although the damage may not be extensive, the disability produced can be considerable. Different surgical procedures are available for reconstruction, but none is absolutely satisfactory. Twenty-four cases of fingertip amputation have been treated by primary skin closure using the Kutler bilateral V-Y advancement technique. The procedure was found to be simple and satisfactory, both functionally and cosmetically.

1979 Annals of the Royal College of Surgeons of England

9. Kutler repair for amputated fingertip Full Text available with Trip Pro

Kutler repair for amputated fingertip 19310702 2010 06 25 2010 06 25 0035-8843 61 6 1979 Nov Annals of the Royal College of Surgeons of England Ann R Coll Surg Engl Kutler repair for amputated fingertip. 485 Crockett J E JE eng Journal Article England Ann R Coll Surg Engl 7506860 0035-8843 2009 3 25 9 0 1979 11 1 0 0 1979 11 1 0 1 ppublish 19310702 PMC2492254

1979 Annals of the Royal College of Surgeons of England

10. The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation. (Abstract)

The use of arteriovenous anastomosis for venous drainage during Tamai zone I fingertip replantation. The purpose of this study was to evaluate outcomes for patients sustaining a distal fingertip amputation who underwent replantation witharteriovenous anastomosis for venous drainage over a one year period at our institution. This technique has been utilized when insufficient veins are identified in the amputated part for standard veno-venous anastomosis.A retrospective study was performed (...) during zone I fingertip replantation if sufficient veins are not identified in the amputated part. This technique may allow for more routine and successful distal replantation.Copyright © 2018 Elsevier Ltd. All rights reserved.

2018 Injury

11. Fingertip Amputation

granulation tissue Topical antibiotic ointment for moist Zone II Fingertip Amputation Dorsal Plane Amputation (angled toward finger dorsum) More nail bed avulsed than pulp Consider repair with Transverse Plane Amputation (perpendicular to finger) amounts of nail bed and pulp avulsed Consider repair with Volar Plane Amputation (angled toward volar finger) More pulp avulsed than nail bed Do not use for this avulsion Zone III Fingertip Amputation Amputate distal phalanx VII. References Hori (2015) Crit Dec (...) Fingertip Amputation Fingertip Amputation Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Fingertip Amputation Fingertip Amputation

2015 FP Notebook

12. Evaluation of sensory function and recovery after replantation of fingertips at Zone I in children Full Text available with Trip Pro

of the fingertips in the First Affiliated Hospital of Sun Yat-sen University of China from July 2014 to January 2016. Variations in the extent of damage, with the residual vessels or nerves in some fingers being too short or even missing, prevented tension-free suture repair in some patients. Thus, repair of four of the nine fingertips included arteriovenous anastomosis, the remaining five undergoing arterial anastomosis during replantation of the amputated fingers. Three patients underwent nerve repair (...) , whereas the remaining six cases did not. Fingertip replantations were successful in all eight patients. Compared with the patients without vascular anastomosis, no obvious atrophy was visible in the fingertips of patients who did undergo vascular anastomosis during replantation and their sensory function did recover. Fingertip replantation provides good sensory function and cosmetic outcomes when good artery and vein anastomoses have been created, even when digital nerves have not been repaired.

2017 Neural Regeneration Research

13. First Insights into Human Fingertip Regeneration by Echo-Doppler Imaging and Wound Microenvironment Assessment Full Text available with Trip Pro

First Insights into Human Fingertip Regeneration by Echo-Doppler Imaging and Wound Microenvironment Assessment Fingertip response to trauma represents a fascinating example of tissue regeneration. Regeneration derives from proliferative mesenchymal cells (blastema) that subsequently differentiate into soft and skeletal tissues. Clinically, conservative treatment of the amputated fingertip under occlusive dressing can shift the response to tissue loss from a wound repair process towards (...) regeneration. When analyzing by Immunoassay the wound exudate from occlusive dressings, the concentrations of brain-derived neurotrophic factor (BDNF) and leukemia inhibitory factor (LIF) were higher in fingertip exudates than in burn wounds (used as controls for wound repair versus regeneration). Vascular endothelial growth factor A (VEGF-A) and platelet-derived growth factor (PDGF) were highly expressed in both samples in comparable levels. In our study, pro-inflammatory cytokines were relatively higher

2017 International journal of molecular sciences

14. Combined Subdermal Pocket Procedure and Abdominal Flap for Distal Finger Amputations in a Toddler Full Text available with Trip Pro

Combined Subdermal Pocket Procedure and Abdominal Flap for Distal Finger Amputations in a Toddler A girl (aged 1 year and 9 months) sustained traumatic amputation to her middle and ring fingers (zone 1C) by a cup-sealing machine. Full-thickness dorsal skin burn over amputated fingertips was also noted. Emergent finger replantation was performed. Following bone fixation, bilateral digital arteries and nerves were repaired. After complete debridement of the necrotic dorsal skin, the extensor

2015 Plastic and Reconstructive Surgery Global Open

15. Harnessing Neuroplasticity to Enhance Functional Recovery During Chronic Recovery From Upper Extremity Nerve Repair

within the brain's sensory and motor systems. The current approach to rehabilitation of function in allogeneic hand transplant recipients is largely the same as standard-of-care following hand replantation (re-attachment) and peripheral nerve repairs. This involves an eclectic combination of traditional therapies. In seeking to improve on this approach, there is potentially much to be gained by considering evidence that limb amputation not only impacts the peripheral nervous system but also the brain (...) Volunteers: No Criteria Inclusion Criteria: Individuals whom have received a unilateral allogeneic transplantation proximal to the wrist and are at the chronic stage of recovery (approx. 12 - 18 months following surgery, when Tinel's sign reaches the distal fingertips). Individuals whom have undergone a complete amputation the hand between the wrist and elbow followed by successful re-attachment and are at the chronic stage of recovery (approx. 12 - 18 months following surgery, when Tinel's sign reaches

2018 Clinical Trials

16. Digital Amputations (Overview)

phalanx. For more information about the relevant anatomy, see . Previous References Louis DS, Hunter LY, Keating TM. Painful neuromas in long below-elbow amputees. Arch Surg . 1980 Jun. 115(6):742-4. . Conolly WB, Goulston E. Problems of digital amputations: a clinical review of 260 patients and 301 amputations. Aust N Z J Surg . 1973 Sep. 43 (2):118-23. . Datiashvili RO, Knox KR, Kaplan GM. Solutions to challenging digital replantations. Clin Plast Surg . 34(2). 2007 Apr:167-75, vii. . Dautel G (...) , Barbary S. Mini replants: fingertip replant distal to the IP or DIP joint. J Plast Reconstr Aesthet Surg . 2007. 60 (7):811-5. . Neinstein RM, Dvali LT, Le S, Anastakis DJ. Complete digital amputations undergoing replantation surgery: a 10-year retrospective study. Hand (N Y) . 2012 Sep. 7 (3):263-6. . Gavrilova N, Harijan A, Schiro S, Hultman CS, Lee C. Patterns of finger amputation and replantation in the setting of a rapidly growing immigrant population. Ann Plast Surg . 2010 May. 64(5):534-6

2014 eMedicine Surgery

17. Digital Amputations (Follow-up)

phalanx. For more information about the relevant anatomy, see . Previous References Louis DS, Hunter LY, Keating TM. Painful neuromas in long below-elbow amputees. Arch Surg . 1980 Jun. 115(6):742-4. . Conolly WB, Goulston E. Problems of digital amputations: a clinical review of 260 patients and 301 amputations. Aust N Z J Surg . 1973 Sep. 43 (2):118-23. . Datiashvili RO, Knox KR, Kaplan GM. Solutions to challenging digital replantations. Clin Plast Surg . 34(2). 2007 Apr:167-75, vii. . Dautel G (...) , Barbary S. Mini replants: fingertip replant distal to the IP or DIP joint. J Plast Reconstr Aesthet Surg . 2007. 60 (7):811-5. . Neinstein RM, Dvali LT, Le S, Anastakis DJ. Complete digital amputations undergoing replantation surgery: a 10-year retrospective study. Hand (N Y) . 2012 Sep. 7 (3):263-6. . Gavrilova N, Harijan A, Schiro S, Hultman CS, Lee C. Patterns of finger amputation and replantation in the setting of a rapidly growing immigrant population. Ann Plast Surg . 2010 May. 64(5):534-6

2014 eMedicine Surgery

18. Digital Amputations (Treatment)

phalanx. For more information about the relevant anatomy, see . Previous References Louis DS, Hunter LY, Keating TM. Painful neuromas in long below-elbow amputees. Arch Surg . 1980 Jun. 115(6):742-4. . Conolly WB, Goulston E. Problems of digital amputations: a clinical review of 260 patients and 301 amputations. Aust N Z J Surg . 1973 Sep. 43 (2):118-23. . Datiashvili RO, Knox KR, Kaplan GM. Solutions to challenging digital replantations. Clin Plast Surg . 34(2). 2007 Apr:167-75, vii. . Dautel G (...) , Barbary S. Mini replants: fingertip replant distal to the IP or DIP joint. J Plast Reconstr Aesthet Surg . 2007. 60 (7):811-5. . Neinstein RM, Dvali LT, Le S, Anastakis DJ. Complete digital amputations undergoing replantation surgery: a 10-year retrospective study. Hand (N Y) . 2012 Sep. 7 (3):263-6. . Gavrilova N, Harijan A, Schiro S, Hultman CS, Lee C. Patterns of finger amputation and replantation in the setting of a rapidly growing immigrant population. Ann Plast Surg . 2010 May. 64(5):534-6

2014 eMedicine Surgery

19. Digital Amputations (Diagnosis)

phalanx. For more information about the relevant anatomy, see . Previous References Louis DS, Hunter LY, Keating TM. Painful neuromas in long below-elbow amputees. Arch Surg . 1980 Jun. 115(6):742-4. . Conolly WB, Goulston E. Problems of digital amputations: a clinical review of 260 patients and 301 amputations. Aust N Z J Surg . 1973 Sep. 43 (2):118-23. . Datiashvili RO, Knox KR, Kaplan GM. Solutions to challenging digital replantations. Clin Plast Surg . 34(2). 2007 Apr:167-75, vii. . Dautel G (...) , Barbary S. Mini replants: fingertip replant distal to the IP or DIP joint. J Plast Reconstr Aesthet Surg . 2007. 60 (7):811-5. . Neinstein RM, Dvali LT, Le S, Anastakis DJ. Complete digital amputations undergoing replantation surgery: a 10-year retrospective study. Hand (N Y) . 2012 Sep. 7 (3):263-6. . Gavrilova N, Harijan A, Schiro S, Hultman CS, Lee C. Patterns of finger amputation and replantation in the setting of a rapidly growing immigrant population. Ann Plast Surg . 2010 May. 64(5):534-6

2014 eMedicine Surgery

20. Hand, Amputations and Replantation

the first replantation on May 23, 1962 at Massachusetts General Hospital on a 12-year-old boy who had his right arm amputated in a train accident. [ , ] This amputation occurred at the level of the humeral neck. This first replantation was performed with an intramedullary steel rod for internal fixation and involved repair of the brachial artery; both communicating brachial veins; and the median, ulnar, and radial nerves. Malt performed another replant and reported on these in The Journal (...) . Toe-to-thumb transfer. Next: Indications Although replantation has improved the lives of many, not all persons who have experienced amputation benefit from or are candidates for replantation. The replantation procedure represents the culmination of the field of hand surgery as a successful replantation often requires repairing blood vessels, nerves, and tendons. The decision to replant a severed part has evolved and is influenced by many factors, including the importance of the part, level

2014 eMedicine Surgery

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