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TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL

OBJECTIVE: 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. METHODS: A cross-sectional survey...

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Autores principales: Matsumoto, Márcio Koji, Fernandes, Marcela, de Moraes, Vinícius Ynoe, Raduan, Jorge, Okamura, Aldo, Belloti, João Carlos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: ATHA EDITORA 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220655/
https://www.ncbi.nlm.nih.gov/pubmed/30464708
http://dx.doi.org/10.1590/1413-785220182604187738
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author Matsumoto, Márcio Koji
Fernandes, Marcela
de Moraes, Vinícius Ynoe
Raduan, Jorge
Okamura, Aldo
Belloti, João Carlos
author_facet Matsumoto, Márcio Koji
Fernandes, Marcela
de Moraes, Vinícius Ynoe
Raduan, Jorge
Okamura, Aldo
Belloti, João Carlos
author_sort Matsumoto, Márcio Koji
collection PubMed
description OBJECTIVE: 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. METHODS: A cross-sectional survey was conducted during the 37th Brazilian Congress of Hand Surgery, when one hundred and twenty questionnaires were randomly distributed. Observing the inclusion and exclusion criteria, ninety completed questionnaires were included. The answers were submitted to descriptive and inferential analysis with a significance level of p <0.05. RESULTS: This study showed agreement of 63.3% for the treatment with statistical difference for dorsal oblique injury less than 1 cm with bone exposure for the VY advancement flap alternative; 46.7% for volar tip oblique injury with bone exposure less than 1 cm for the Cross Finger alternative; 47.8% for oblique thumb volar injury 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. CONCLUSION: 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 studies are needed to assess the consensus among surgeons regarding the treatment of fingertip injury. Level of Evidence III; Cross-sectional survey.
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spelling pubmed-62206552018-11-21 TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL Matsumoto, Márcio Koji Fernandes, Marcela de Moraes, Vinícius Ynoe Raduan, Jorge Okamura, Aldo Belloti, João Carlos Acta Ortop Bras Original Article OBJECTIVE: 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. METHODS: A cross-sectional survey was conducted during the 37th Brazilian Congress of Hand Surgery, when one hundred and twenty questionnaires were randomly distributed. Observing the inclusion and exclusion criteria, ninety completed questionnaires were included. The answers were submitted to descriptive and inferential analysis with a significance level of p <0.05. RESULTS: This study showed agreement of 63.3% for the treatment with statistical difference for dorsal oblique injury less than 1 cm with bone exposure for the VY advancement flap alternative; 46.7% for volar tip oblique injury with bone exposure less than 1 cm for the Cross Finger alternative; 47.8% for oblique thumb volar injury 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. CONCLUSION: 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 studies are needed to assess the consensus among surgeons regarding the treatment of fingertip injury. Level of Evidence III; Cross-sectional survey. ATHA EDITORA 2018 /pmc/articles/PMC6220655/ /pubmed/30464708 http://dx.doi.org/10.1590/1413-785220182604187738 Text en https://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Matsumoto, Márcio Koji
Fernandes, Marcela
de Moraes, Vinícius Ynoe
Raduan, Jorge
Okamura, Aldo
Belloti, João Carlos
TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title_full TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title_fullStr TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title_full_unstemmed TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title_short TREATMENT OF FINGERTIP INJURIES BY SPECIALISTS IN HAND SURGERY IN BRAZIL
title_sort treatment of fingertip injuries by specialists in hand surgery in brazil
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220655/
https://www.ncbi.nlm.nih.gov/pubmed/30464708
http://dx.doi.org/10.1590/1413-785220182604187738
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