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Single ray amputation in traumatic injury of the hand: review of literature

Background and aim of the work: Ring avulsion are relatively common hand lesions and are associated with significant disability, especially in hand-workers. The treatment choice is still debatable. We sought to conduct a detailed systematic review in attempt to collate evidence on functional, cosmet...

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Detalles Bibliográficos
Autores principales: Filippo, Calderazzi, Margherita, Menozzi, Alessandro, Nosenzo, Cristina, Galavotti, Francesco, Pogliacomi, Francesco, Ceccarelli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Mattioli 1885 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6503410/
https://www.ncbi.nlm.nih.gov/pubmed/30714994
http://dx.doi.org/10.23750/abm.v90i1-S.7677
Descripción
Sumario:Background and aim of the work: Ring avulsion are relatively common hand lesions and are associated with significant disability, especially in hand-workers. The treatment choice is still debatable. We sought to conduct a detailed systematic review in attempt to collate evidence on functional, cosmetic and patient-reported outcomes (PROs) following ray amputation for the management of traumatic hand injury and ring avulsion injury. Methods: Using the PubMed database we made a systematic search for articles regarding single ray amputation after traumatic hand lesion. Nine articles met our including criteria and were analysed. Results: Most of the included studies suggest that for those worse cases ray amputation still represent a good option. Indeed ray resection can eliminate the gap, remove a cumbersome or painful digit and guarantes better cosmesis but reduces grip and pinch strength (from 15% to 30%) and decreased palm width. Conclusions: Different surgical techniques are available, almost all of them results in a loss of strength but ensure good both functional and cosmetic results. (www.actabiomedica.it)