Musculoskelet Surg 2017 Dec 5;101(3):275-281. Epub 2017 Jul 5.
Department of Community Medicine, Kasturba Medical College, Manipal University, Manipal, Karnataka, 576104, India.
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Handchir Mikrochir Plast Chir 2002 Jan;34(1):30-5
Klinik für Handchirurgie, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Heidelberg, Germany.
Little data is available about the long-term functional outcome and quality of life after ray amputation or amputation at the level of the proximal phalanx of the index finger. The purpose of this study was to evaluate the functional outcome and postoperative quality of life after ray amputation or amputation through the proximal phalanx to create a database which is helpful in the decision whether to amputate a digital ray or to preserve a stump.58 patients with amputation of the second ray and 12 patients with amputation through the proximal phalanx of the index finger between 1987 and 1996 were included in the study and examined with respect to hand strength, sensibility, range of motion, pain, and aesthetic result of the hand. Read More
Int Orthop 2017 08 3;41(8):1617-1622. Epub 2017 Feb 3.
Medical Center MEDEX, Republica de Panama 3065, San Isidro, Lima, Peru.
Purpose: Loss of a fourth digit below the level of the proximal phalanx results in a weakened grip, loss of skilled movements, and the amputation stump is repeatedly traumatized. Transposition of an adjacent fifth digital ray can improve hand function and cosmetic appearance by closing the gap created by the missing digit. Digital ray amputation is not a commonly performed procedure. Read More
J Hand Surg Br 2003 Dec;28(6):578-81
Istanbul Hand Surgery and Microsurgery Center, Aksaray Vatan Hospital, Istanbul, Turkey.
We investigated the long-term functional results of ray resection (14 cases) and amputation (nine cases) for ring avulsion injuries of ring finger which could not be replanted or underwent failed replantation. The mean follow-up was 37 (range, 24-63) months in the ray resection group and 32 (range, 24-40) months in the amputation group. Grip strength, key pinch strength, chuck pinch strength, hand circumference and palmar volume were decreased in the ray resection group but only grip strength and pulp pinch strength were significantly decreased in the amputation group. Read More
J Hand Surg Am 2015 Jul 27;40(7):1389-96. Epub 2015 May 27.
Orthopaedic Surgery Department, Hand and Microsurgery Unit, Minia University Hospital, El-Minia, Egypt.
Purpose: To compare hand function after early versus delayed fourth ray amputation and transposition of the fifth ray in mutilating ring finger injuries.
Methods: We prospectively compared 2 groups of patients who sustained either isolated mutilating ring finger or complex hand injuries between January 2008 and December 2013. The first group (12 patients; 10 male and 2 female) was managed by early (within 14 d) fourth ray amputation with fifth ray transposition, and the second group (13 patients; 9 male and 4 female) was managed similarly but on a delayed basis (after 20 d). Read More