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Fingertip Amputation

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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. Management of Fingertip Amputations. (Abstract)

Management of Fingertip Amputations. Injuries to the fingertips are among the most common injuries to the hand and result in approximately 4.8 million emergency department visits per year. Most injuries are lacerations or crushes; amputations represent a small but complex spectrum of injury. Treatments available cover a broad range of techniques with no single recommended reference standard for treatment. Although there is no consensus on how these injuries should be treated, the goals

2014 Journal of Hand Surgery - American

23. Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part Full Text available with Trip Pro

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.

2012 Archives of plastic surgery

24. TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL Full Text available with Trip Pro

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

2018 Acta ortopedica brasileira

25. 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

26. 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

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

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

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

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

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

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. (Abstract)

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. Functional Capacity Evaluation in Upper Limb Reduction Deficiency and Amputation: Development and Pilot Testing Full Text available with Trip Pro

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

2017 Journal of occupational rehabilitation

32. Innervated full thickness grafts in distal finger amputations Full Text available with Trip Pro

Innervated full thickness grafts in distal finger amputations Innervated full thickness graft will be presented as an option to reconstruct a fingertip defect which might result in better sensibility than standard reconstruction using a full thickness graft without innervation. Also, anastomosing the nerve stumps can decrease the chance of developing neuroma.Copyright © 2017 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting

2017 Chinese Journal of Traumatology

33. Hand-to-Face Remapping But No Differences in Temporal Discrimination Observed on the Intact Hand Following Unilateral Upper Limb Amputation Full Text available with Trip Pro

of unilateral upper limb amputees and individuals with all limbs intact to temporally based sensory tactile testing of the fingertips to test the hypothesis that changes in sensory perception also have an effect on the intact limb. Upper extremity amputees were assessed for the presence of referred sensations (RSs)-experiencing feelings in the missing limb when a different body region is stimulated, to determine changes within the brain that occur due to an amputation. Eight of 19 amputees (42.1 (...) sensation and/or pain with stimulation of the face, suggesting that there could be postamputation changes in neuronal circuitry in somatosensory cortex. However, major unilateral limb amputation does not lead to changes in temporal order judgment or timing perception tasks administered via the tactile modality of the intact hand in upper limb amputees.

2017 Frontiers in neurology

34. 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

35. 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

36. Classification of Distal Fingertip Amputation Based on the Arterial System for Replantation Full Text available with Trip Pro

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.

2012 Journal of hand and microsurgery

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

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

38. 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 (...) 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

2017 Neural Regeneration Research

39. 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

40. 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

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