How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

164 results for

Fingertip Amputation

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

21. Prophylactic Antibiotic in Treatment of Fingertip Amputation

Prophylactic Antibiotic in Treatment of Fingertip Amputation Prophylactic Antibiotic in Treatment of Fingertip Amputation - Full Text View - ClinicalTrials.gov Hide glossary Glossary Study record managers: refer to the if submitting registration or results information. Search for terms x × Study Record Detail Saved Studies Save this study Warning You have reached the maximum number of saved studies (100). Please remove one or more studies before adding more. Prophylactic Antibiotic in Treatment (...) of Fingertip Amputation The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our for details. ClinicalTrials.gov Identifier: NCT02077400 Recruitment Status : Completed First Posted : March 4, 2014 Last Update Posted : July 10, 2015 Sponsor: HaEmek Medical Center, Israel Information provided by (Responsible Party): guy rubin, HaEmek Medical Center, Israel Study

2014 Clinical Trials

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

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

23. TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL (PubMed)

TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL To verify if there is consensus about the treatment of each type of injury or amputation of the fingertips, and if there is a statistical difference among the treatment options according to the surgeon's length of time in the hand surgery specialty.A cross-sectional survey was conducted during the 37th Brazilian Congress of Hand Surgery, when one hundred and twenty questionnaires were randomly distributed. Observing (...) greater than 1 cm with no bone exposure to the Moberg alternative; 54.4% for thumb pulp injury up to 2.5 cm with bone exposure to the Moberg alternative with proximal release, and 92.2% for antibiotic use, for the "cephalexin" alternative.There is no consensus regarding the treatment of most types of fingertip lesions, with agreement of 45.4%. When we subdivided by time group of specialty in hand surgery, there was an increase in agreement to 54.5% of the questions per subgroup. Further comparative

Full Text available with Trip Pro

2018 Acta ortopedica brasileira

24. A Technique for Tripartite Reconstruction of Fingertip Injuries Using the Thenar Flap With Bone and Nail Bed Grafts. (PubMed)

A Technique for Tripartite Reconstruction of Fingertip Injuries Using the Thenar Flap With Bone and Nail Bed Grafts. Fingertip amputation is the most common amputation encountered by hand surgeons. Treatment decisions are multifactorial, based on mechanism, level of injury, tissue loss, associated injuries, and patient preference, among others. In this article, we present use of the thenar flap in combination with bone graft and split-thickness nail bed graft to address the tripartite loss (...) of distal phalanx, soft tissue, and nail bed. This method allows for a full-length and functional reconstructed fingertip that is aesthetically satisfactory and does not require microsurgical techniques.Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

2017 Journal of Hand Surgery - American

25. Evaluation of sensory function and recovery after replantation of fingertips at Zone I in children (PubMed)

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 (...) Evaluation of sensory function and recovery after replantation of fingertips at Zone I in children Sensory function is the most significant criterion when evaluating the prognosis of replanted fingers. Current clinical research has focused on surgical techniques and indications for finger replantation; however, few studies have focused on recovery of finger sensory function after replantation. This study retrospectively assessed data of eight patients who had undergone nine Zone I replantations

Full Text available with Trip Pro

2017 Neural Regeneration Research

26. First Insights into Human Fingertip Regeneration by Echo-Doppler Imaging and Wound Microenvironment Assessment (PubMed)

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

Full Text available with Trip Pro

2017 International journal of molecular sciences

27. Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part (PubMed)

Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults.Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip (...) cosmetic results.A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results.

Full Text available with Trip Pro

2012 Archives of plastic surgery

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

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

29. Semi-occlusive dressing for the treatment of fingertip amputations with exposed bone: quantity and quality of soft-tissue regeneration. (PubMed)

Semi-occlusive dressing for the treatment of fingertip amputations with exposed bone: quantity and quality of soft-tissue regeneration. Nineteen fingertip amputations with exposed bone were treated with a semi-occlusive dressing. The quantity and quality of the regenerated soft tissue was examined. In all 19 fingers there was sufficient uncomplicated healing such that secondary surgical procedures were not needed. At follow-up 6-18 months after the injury, soft tissue thickness around the bone

2013 Journal of Hand Surgery - European

30. Fingertip Reconstruction With Simultaneous Flaps and Nail Bed Grafts Following Amputation. (PubMed)

Fingertip Reconstruction With Simultaneous Flaps and Nail Bed Grafts Following Amputation. To report our technique and results with treating fingertip amputations with flaps and simultaneous nailbed grafts.We reconstructed 20 fingertip amputations with loss of bone and nail with flaps combined with nailbed grafts. We reconstructed the volar side of the fingertip with a flap, and the dorsal side of the fingertip with a nailbed grafted to the raw inner surface of the flap. We employed volar V-Y (...) advancement flaps for transverse or dorsal oblique fingertip injuries and generally used abdominal flaps for volar oblique fingertip injuries. We harvested nailbeds from the amputated finger or from the patient's first toe.The length of the amputated fingertips was restored with the flaps, and the lost nailbeds were restored to their natural appearance with the nailbed grafts. We classified the results according to the length of the reconstructed fingertip and the appearance of the nail. Excellent or good

2013 Journal of Hand Surgery - American

31. Primary functional and aesthetic restoration of the fingernail in distal fingertip amputations with the eponychial flap. (PubMed)

Primary functional and aesthetic restoration of the fingernail in distal fingertip amputations with the eponychial flap. Fingertip injuries often result in fingernail defects. Reconstruction of this structure is important for adequate functional and aesthetic results. This study evaluates the eponychial flap reconstruction technique in 45 fingertip amputations with loss of more than half the fingernail. In 33 cases the procedure was performed in combination with a palmar island flap for pulp (...) for this technique to very proximal fingernail defects. Eponychial flap reconstruction is a simple, safe, and time-effective technique without donor site morbidity. Simultaneous reconstruction of dorsal and palmar injuries should both be performed primarily resulting in the restoration of a satisfying fingertip.© The Author(s) 2013.

2013 Journal of Hand Surgery - European

32. Homodigital artery flap reconstruction for fingertip amputation: a comparative study of the oblique triangular neurovascular advancement flap and the reverse digital artery island flap. (PubMed)

Homodigital artery flap reconstruction for fingertip amputation: a comparative study of the oblique triangular neurovascular advancement flap and the reverse digital artery island flap. This fingertip reconstruction study retrospectively compared sensory recovery and active range of motion outcomes in neurovascular island advancement and reverse digital artery island flaps. Seventeen oblique triangular flaps and 14 reverse digital artery island flaps were performed for nail bed level fingertip (...) amputations (Ishikawa subzone II). There was no significant difference between the two procedures in the Semmes-Weinstein monofilament test and range of motion results. For static and moving two-point discrimination tests, however, those with a reverse digital artery island flap required a longer period for sensory recovery compared to those with an oblique triangular advancement flap. This trend equilibrated at 12 months after surgery showing no significant difference in both static and moving two-point

2013 Journal of Hand Surgery - European

33. Composite Graft Repair for Distal Fingertip Amputation (PubMed)

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

Full Text available with Trip Pro

2013 Eplasty

34. Fingertip replantation (zone I) without venous anastomosis: clinical experience and outcome analysis (PubMed)

Fingertip replantation (zone I) without venous anastomosis: clinical experience and outcome analysis The purpose of this study was to report our experience of fingertip replantation without venous anastomosis using alternate method to counter post-operative venous congestion.30 Patients (18 men and 12 women) with 30 fingertip amputations (Tamai zone I) were treated with artery-only anastomosis fingertip replantation between March 2010 and July 2014. Postoperative venous outflow was maintained (...) by allowing bleeding through wound gaps combined with topical (12500u:250mlNS) and systemic (4000 IU SC once daily) heparin. The outcomes of replantation were evaluated using standard evaluating systems.The average duration of hospital stay was 10 days (range 7-14 days). Twenty-eight (93 %) replanted fingertips survived. Five replanted fingertip experienced postoperative vascular crisis. The estimated post-operative blood loss was about 200-450 ml (mean, 292 ml). Follow-up period ranged from 12 to 24

Full Text available with Trip Pro

2016 SpringerPlus

35. Intraneural stimulation elicits discrimination of textural features by artificial fingertip in intact and amputee humans (PubMed)

Intraneural stimulation elicits discrimination of textural features by artificial fingertip in intact and amputee humans Restoration of touch after hand amputation is a desirable feature of ideal prostheses. Here, we show that texture discrimination can be artificially provided in human subjects by implementing a neuromorphic real-time mechano-neuro-transduction (MNT), which emulates to some extent the firing dynamics of SA1 cutaneous afferents. The MNT process was used to modulate the temporal

Full Text available with Trip Pro

2016 eLife

36. A prospective randomised comparison of fixation methods in Tamai's zone I amputation. (PubMed)

A prospective randomised comparison of fixation methods in Tamai's zone I amputation. The treatment of choice for fingertip amputation is replantation to restore function and aesthetics. The purpose of this study was to compare the success rates and salvage periods between patients with Tamai's zone I amputation injuries treated with bony fixation and suture fixation.Fifty-five patients with Tamai's zone I amputations with bony involvement were included in this study. The patients were (...) allocated randomly to two groups treated by bony fixation with Kirschner (K-)wire and suture fixation, respectively. In the bony fixation group (n = 21), the distal phalangeal bone was fixed with K-wire; in the suture fixation group (n = 34), the amputated portion was fixed with sutures alone. The success rate was defined as the percentage of fully viable replanted cases, and the salvage period was defined as extending from the first postoperative day to the cessation of salvation.The success rates

2018 Journal of plastic, reconstructive & aesthetic surgery : JPRAS Controlled trial quality: uncertain

37. Classification of Distal Fingertip Amputation Based on the Arterial System for Replantation (PubMed)

Classification of Distal Fingertip Amputation Based on the Arterial System for Replantation During replantation of distal fingertip amputation, identification of the artery is the most important but time consuming procedure. Depending on the damaged arterial structure, we classified distal fingertip amputations into 4 zones, on the basis of three dimensional concept. Zone 1 injury was defined as damage to the proximal central pulp artery; zone 2 injury, damage to the branch of the central pulp (...) artery; zone 3 injury, damage to the distal central pulp artery; and zone 4 injury, no injury to the central pulp artery, injury only to the lateral pulp artery. From April 2010 to June 2011, 27 patients were evaluated. Successful replantation was observed in 21 patients. Skin necrosis occurred in six patients. For distal fingertip amputation classification based on the damaged arterial system is an easy method to find out the appropriate artery which should be anastomosed during replantation.

Full Text available with Trip Pro

2012 Journal of hand and microsurgery

38. 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

39. Fingertip Amputation

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 (...) Aka: Fingertip Amputation , Finger Tip Amputation From Related Chapters II. Classification Zone I Fingertip Amputation Preserved distal phalanx without bone exposure Majority of nail bed and nail matrix intact Zone II Fingertip Amputation Amputation distal to lunula of nail bed Bony exposure of distal phalanx Zone III Fingertip Amputation Loss of entire nail bed Large portion of distal phalanx lost III. Precautions See Set expectations at time of initial presentation Affected finger may heal

2015 FP Notebook

40. Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing (PubMed)

Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing Purpose To develop and pilot test a functional capacity evaluation (FCE) for individuals with upper limb absence (ULA) due to reduction deficiency or amputation, and to examine the relationship between FCE results and presence of musculoskeletal complaints (MSC). Method Five tests (overhead lifting, overhead working, repetitive reaching, fingertip dexterity, and handgrip strength

Full Text available with Trip Pro

2017 Journal of occupational rehabilitation

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>