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

61. Digital Amputations (Diagnosis)

, 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 (...) bed. J Plast Reconstr Aesthet Surg . 2010 Nov. 63 (11):1870-4. . Tribble DE. A special skin grafting technique for concave surfaces and for traumatic amputations of fingers. Am Surg . 2010 Feb. 76(2):172-5. . Chen SY, Wang CH, Fu JP, Chang SC, Chen SG. Composite grafting for traumatic fingertip amputation in adults: technique reinforcement and experience in 31 digits. J Trauma . 2011 Jan. 70 (1):148-53. . Raitliff AHC. Amputations of the fingers and thumb. Hand . 1969. 1:137. Thompson RV

2014 eMedicine Surgery

62. Hand, Amputations and Replantation

for replantation and should be closed primarily or by recruiting adjacent soft tissues. The viability of the remaining soft tissues must be ascertained before application of a tourniquet. Occasionally, the fillet-flap principle can be applied in reconstructing these wounds. Occasionally, bone shortening or revision amputation is required to allow tension-free primary closure of the soft tissues and adequate padding. Furthermore, in an effort to minimize recovery time and hasten return to work, some fingertip (...) Hand, Amputations and Replantation Hand Amputations and Replantation: Overview, Indications, Preoperative Considerations Edition: No Results No Results Please confirm that you would like to log out of Medscape. If you log out, you will be required to enter your username and password the next time you visit. https://profreg.medscape.com/px/getpracticeprofile.do?method=getProfessionalProfile&urlCache=aHR0cHM6Ly9lbWVkaWNpbmUubWVkc2NhcGUuY29tL2FydGljbGUvMTI4ODIwMy1vdmVydmlldw== processing > Hand

2014 eMedicine Surgery

63. Digital Amputations (Treatment)

, 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 (...) bed. J Plast Reconstr Aesthet Surg . 2010 Nov. 63 (11):1870-4. . Tribble DE. A special skin grafting technique for concave surfaces and for traumatic amputations of fingers. Am Surg . 2010 Feb. 76(2):172-5. . Chen SY, Wang CH, Fu JP, Chang SC, Chen SG. Composite grafting for traumatic fingertip amputation in adults: technique reinforcement and experience in 31 digits. J Trauma . 2011 Jan. 70 (1):148-53. . Raitliff AHC. Amputations of the fingers and thumb. Hand . 1969. 1:137. Thompson RV

2014 eMedicine Surgery

64. Digital Amputations (Overview)

, 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 (...) bed. J Plast Reconstr Aesthet Surg . 2010 Nov. 63 (11):1870-4. . Tribble DE. A special skin grafting technique for concave surfaces and for traumatic amputations of fingers. Am Surg . 2010 Feb. 76(2):172-5. . Chen SY, Wang CH, Fu JP, Chang SC, Chen SG. Composite grafting for traumatic fingertip amputation in adults: technique reinforcement and experience in 31 digits. J Trauma . 2011 Jan. 70 (1):148-53. . Raitliff AHC. Amputations of the fingers and thumb. Hand . 1969. 1:137. Thompson RV

2014 eMedicine Surgery

65. Modification of VY flap to preserve fingertip contour (PubMed)

Modification of VY flap to preserve fingertip contour VY flap is a reliable treatment for fingertip amputation injuries. Insetting the flap to replicate fingertip contour can be challenging with the conventional method of using sutures. We propose a modification of inset technique with K-wire to simplify contouring during flap inset.Seven patients underwent VY flap reconstruction with the modified inset technique for fingertip defects ranging from 10 × 15 to 20 × 15 mm. The flaps were advanced (...) between 6 and 10 mm and inset with K-wires. The donor site is allowed to heal by secondary intention. At 6 months, static two-point discrimination, sensitivity, and flap appearance were assessed.All flaps healed uneventfully, and each patient returned to work between 8 and 10 weeks. Fingertip and nail contour were satisfactory in every case.This modification simplified contouring during flap inset and provided a viable alternative to flap inset and contour adjustment.

Full Text available with Trip Pro

2012 Hand (New York, N.Y.)

66. A modification of the Souquet advancement flap in fingertip reconstruction. (PubMed)

A modification of the Souquet advancement flap in fingertip reconstruction. The Hueston local transposition flap and Souquet advancement flap are two commonly employed options in fingertip reconstruction after amputation. Both are rectangular flaps rotated so that the free edge advances to cover the defect in the fingertip. They differ in that the Hueston flap does not include the neurovascular bundle in the free edge, while the Souquet flap does include the bundle. In consequence, the Hueston

2012 Journal of Hand Surgery - European

67. Lessons for adult fingertip regeneration: glimpses from basic research. (PubMed)

population. The impressive regeneration of amputated salamander limbs has been shown to work through an evolutionarily divergent mechanism and may not be open to direct translational approaches in mammals. In addition, researchers are beginning to understand the complexity of the interrelated mechanisms of axis determinants in chick embryo limb development. In this article, we review lessons to be learned from these divergent experiments, to understand fingertip regeneration in humans.Copyright © 2012 (...) Lessons for adult fingertip regeneration: glimpses from basic research. Understanding the mechanisms involved in limb and finger regeneration holds promise for improving current treatment therapies. Recent animal studies have improved our understanding of the limb regeneration process markedly. Improved sophistication in experimentation has allowed results that partly reveal the cells of origin in fingertip regeneration in mouse models, which implicates a tissue-resident progenitor cell

2012 Journal of Hand Surgery - American

68. Transplantation of fingertips. (PubMed)

Transplantation of fingertips. 4933302 1971 08 20 2018 11 13 0003-4932 173 5 1971 May Annals of surgery Ann. Surg. Transplantation of fingertips. 812-26 Peacock E E EE Jr Madden J W JW Trier W C WC eng Journal Article United States Ann Surg 0372354 0003-4932 AIM IM Amputation surgery Finger Injuries surgery Fingers blood supply innervation physiology transplantation Humans Ischemia Methods Postoperative Complications Retrospective Studies Skin Transplantation Surgery, Plastic Transplantation

Full Text available with Trip Pro

1971 Annals of Surgery

69. Occupational amputations in Illinois 2000-2007: BLS vs. data linkage of trauma registry, hospital discharge, workers compensation databases and OSHA citations. (PubMed)

injuries in Illinois between 2000 and 2007, compare them to the BLS-SOII, and determine OSHA investigations of the companies where amputations occurred.There were 3984 amputations identified, 80% fingertips, in the Illinois databases compared to an estimated 3637, 94% fingertips, from BLS-SOII. Though the overall agreement is close, there were wide fluctuations (over- and under-estimations) in individual years between counts in the linked dataset and federal survey estimates. No OSHA inspections (...) Occupational amputations in Illinois 2000-2007: BLS vs. data linkage of trauma registry, hospital discharge, workers compensation databases and OSHA citations. Workplace amputation is a widespread, disabling, costly, and preventable public health problem. Thousands of occupational amputations occur each year, clustering in particular economic sectors, workplaces, and demographic groups such as young workers, Hispanics, and immigrants.To identify and describe work related amputations amongst

2013 Injury

70. Making the V-Y advancement flap safer in fingertip amputations (PubMed)

Making the V-Y advancement flap safer in fingertip amputations Amputation of the fingertip is a common injury of the upper extremity. Over the years, a variety of reconstructive techniques have been described. For dorsal oblique and transverse amputations, the Atasoy V-Y advancement flap is a popular choice because it preserves finger length, sensation and function. However, closure under tension remains a problem, putting the flap at risk of partial or full necrosis. To avoid this untoward

Full Text available with Trip Pro

2010 The Canadian Journal of Plastic Surgery

71. Composite Grafting for Traumatic Fingertip Amputation in Adults: Technique Reinforcement and Experience in 31 Digits. (PubMed)

Composite Grafting for Traumatic Fingertip Amputation in Adults: Technique Reinforcement and Experience in 31 Digits. Composite grafting is used to treat nonreplantable fingertip amputations. This procedure has a high success rate and good results in treating fingertip amputations in children, but a lower success rate in adults.From July 2007 to December 2008, 27 patients with 31 injured fingertips were admitted because of traumatic fingertip amputation at the emergency department of Tri (...) -Service General Hospital, National Defense Medical Center, Taipei, Taiwan. All 31 injured fingers had a nonreplantable distal amputated fingertip and underwent composite grafting. We refined the surgical technique by excising the bony segment, defatting, deepithelialization, tie-over suturing, and finger splinting to increase the graft survival. The patients' age, mechanism of damage, lesion size, surgical result, and postoperative complications were recorded.The mean age of the patients was 40.5

2010 Journal of Trauma

72. Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases. (PubMed)

Revascularization of complete and incomplete distal finger amputations in children below 2 years of age: a report of three cases. Three cases of fingertip amputation at the level between the distal phalanx and the nail base in children below 2 years of age were treated by replantation or revascularization. The injury was complete in two, and incomplete in one. All three fingerstips survived with artery anastomosis without the need for a blood transfusion. In two venous anastomosis failed (...) and venous drainage was achieved by 3-hourly pinprick. Survival of an amputated finger can be expected in cases where venous reconstruction is not possible, provided that there is adequate venous drainage.

2011 Journal of Hand Surgery - European

73. Raynaud's phenomenon

of fingertip/finger raised painful red lesions on finger tips auto-amputation female FHx connective tissue disease vibration injury Buerger's disease prolonged cold exposure/frostbite colder climate smoking ischaemia migraine glaucoma Diagnostic investigations clinical diagnosis ANA FBC ESR creatinine urinalysis Treatment algorithm ACUTE ONGOING Contributors Authors Professor of Medicine Division of Rheumatology Department of Medicine University of Western Ontario Schulich School of Medicine and Dentistry

2018 BMJ Best Practice

74. Physiologic Predictors of Severe Injury: Systematic Review

decisions can be made based on observable characteristics of the injury (e.g., a crush injury or amputation), but other injuries require additional assessment. Triage guidelines and protocols include the assessment of circulatory and respiratory compromise as essential components of the triage process to identify high-risk trauma patients and inform transport destination decisions. In the current guidelines, 5 field triage of injured patients consists of four steps designed to identify different levels

2018 Effective Health Care Program (AHRQ)

75. Adult Type 1 diabetes mellitus

of a national clinical guideline will provide the diabetes multidisciplinary team, patients and the HSE with a framework that will ensure that adults with type 1 diabetes have equitable access to high quality care, thus improving patient’s outcomes and reducing diabetes complications. 2.2 Clinical and financial impact of type 1 diabetes The complications of type 1 diabetes can result in disability: including vision loss, kidney failure and foot ulceration leading to amputation, as well as premature heart

2018 National Clinical Guidelines (Ireland)

76. National Clinical Guideline on Adult type 1 diabetes mellitus

ulceration leading to amputation, as well as premature heart disease and stroke. The morbidity associated with these complications can have a devastating impact on quality of life and generate a significant cost to the state. A systematic review and meta-analysis which included studies with people living with type 1 diabetes in Ireland showed the prevalence of diabetes complications ranged widely depending on study population and methodology used (6.5–25.2 % retinopathy; 3.2–32.0 % neuropathy; 2.5-5.2

2018 HIQA Guidelines

77. CRACKCast E087 – Peripheral Arteriovascular Disease

urgently CT angiography or ultrasound usually prolong the limb’s ischemic time! Start IV heparin immediately! If thrombotic disease = the in-situ thrombosis needs aggressive thrombectomy with bypass grafting, amputation, or revascularization with intra-arterial tPA or heparinization In patients whom you can’t differentiate between the two – angiography usually helps! For people without these limb-threatening features, we still want to determine if it is an embolus or an in-situ thrombosis Emboli (...) – male 20-40 years old, who smokes tobacco Unknown pathogenesis Often spreads from artery inflammation to inflammation of the veins/nerves Clinical syndrome/criteria Foot claudication, hand claudication, fingertip/toe ulcers, Raynaud-type cold response plus 1) History of smoking 2) Onset before age 50 3) Infrapopliteal arterial occlusive lesions 4) Upper limb involvement / phlebitis migrans 5) Absence of atherosclerotic risk factors other than smoking Management Stop smoking cigarettes! If they don’t

2017 CandiEM

78. Type 1 diabetes in adults: diagnosis and management

that normally make insulin. Loss of insulin secretion results in high blood glucose and other metabolic and haematological abnormalities, which have both short-term and long-term adverse effects on health. Over years, type 1 diabetes causes tissue damage which, if not detected and managed early, can result in disability: blindness, kidney failure and foot ulceration leading to amputation, as well as premature heart disease, stroke and death. The risk of all of these complications is greatly reduced (...) . Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 24 of 871.6.19 Support adults with type 1 diabetes to make the best use of data from self-monitoring of blood glucose through structured education (see recommendations 1.3.1 and 1.3.2). [new 2015] [new 2015] Sites for self-monitoring of blood glucose Sites for self-monitoring of blood glucose 1.6.20 Monitoring blood glucose using sites other than the fingertips cannot be recommended as a routine

2015 National Institute for Health and Clinical Excellence - Clinical Guidelines

79. CRACKCast E050 – Orthopedics – Hand Injuries

-160 days If the nail bed isn’t properly repaired accurately granulation tissue will impede smooth nail growth Fingertip amputations Zone I: proximal ⅔ of the nail bed is preserved, no bony involvement Zone II: exposed bone Zone III: entire nailbed is lost Important: maintain thumb length in any way possible: Refer these to a hand surgeon, don’t rongeur or trim tissue. Index is the next most important digit – want to be able to preserve pulp-to-pulp pinch if possible Consider age, occupation (...) points of touch “Accuracy and objectivity is questioned; limited value in children, calloused fingers, distracted injuries, altered mental status” Skin wrinkle test is probably more accurate Fingertips: 5mm max (“5 fingers”) Base of palm: 10mm max Dorsum: 12mm max Motor testing – test nerves, important tendons, look for deformity Ulnar n. (passes through Guyon’s canal) Test function – finger abduction, MCP flexion Palsy – main en griffe (clawhand) Median n. Test function – thumb opposition to index

2016 CandiEM

80. Acral vascular necrosis associated with immune-check point inhibitors: case report with literature review. (PubMed)

developed sudden onset numbness and discoloration of fingertips bilaterally at week 25 after initiation of ICI treatment. Extensive workup to rule out hypercoagulable, autoimmune and vascular disease was unremarkable except for mild elevation of ANA and ESR. The symptoms quickly progressed into dry gangrene within four weeks and did not respond to medical or surgical treatment. Pembrolizumab was subsequently discontinued due to progression of metastatic disease. The patient refused further interventions (...) and transitioned to hospice care where she expired after two months.Acral ischemia can develop during treatment of malignancies. This complication, although uncommon, canresult in digital amputation. Physicians should be aware of the possible progression of acral vascular necrosis when Raynaud's like symptoms develop. Larger studies are needed to confirm the role of ICIs in the pathogenesis of acral vascular necrosis.

2019 BMC Cancer

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