1,495 results match your criteria Digital Amputations


Firework Injuries of the Hand: An Analysis of Treatment and Health Care Utilization.

Hand (N Y) 2019 Mar 17:1558944719829905. Epub 2019 Mar 17.

1 Massachusetts General Hospital, Division of Plastic and Reconstructive Surgery, Harvard Medical School, Boston, USA.

Background: Firework injuries to the hand can be devastating due to the explosive and ballistic nature of these devices. The aim of this study was to describe the injury and treatment characteristics of patients requiring surgery for firework-related hand injuries and to investigate which factors are associated with an increased utilization of health care resources.

Methods: A retrospective chart review of patients undergoing surgery for firework-related hand injuries at two American College of Surgeons level I trauma centers between 2005 and 2016 was performed. Read More

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http://dx.doi.org/10.1177/1558944719829905DOI Listing

Palmoplantar keratoderma: creating a disease burden questionnaire.

J Eur Acad Dermatol Venereol 2019 Mar 13. Epub 2019 Mar 13.

FIMARAD, Filière de santé maladies rares: maladies rares en dermatologie, French rare diseases Healthcare Network, France.

Palmoplantar keratoderma (PPK) constitutes a heterogenous group of disorders that may be further subdivided into hereditary and acquired forms, characterized by hyperkeratosis of the palm and sole skin [1,2]. In recent years, the exponentially increasing use of next-generation sequencing technologies has led to the identification of several novel disease genes, substantially contributing to better comprehend PPK's molecular basis. PPK involvement may severely limit normal activities and lead to palmar retractions, digital amputations due to ischaemic strictures, and intense pain requiring major analgesic therapy. Read More

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http://dx.doi.org/10.1111/jdv.15563DOI Listing

Free Tissue Transfer for Upper Extremity Reconstruction.

Semin Plast Surg 2019 Feb 8;33(1):17-23. Epub 2019 Mar 8.

Division of Plastic Surgery, Baylor College of Medicine, Houston, Texas.

With the advent of the Industrial Revolution, traumatic injuries of the upper extremity increased exponentially. As a result, surgeons began to reevaluate amputation as the standard of care. Following the Second World War, local and regional pedicled flaps became common forms of traumatic upper extremity reconstruction. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0039-1677702
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http://dx.doi.org/10.1055/s-0039-1677702DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6408247PMC
February 2019
4 Reads

Phalangeal fracture leading to digital amputation, sustained during manipulation for Dupuytren's disease as part of clostridial collagenase treatment.

Ann R Coll Surg Engl 2019 Mar 11:e1-e3. Epub 2019 Mar 11.

Plastic and Reconstructive Surgery Department, Salisbury District Hospital, Salisbury , Salisbury , UK.

Collagenase injection was approved in Europe for use in the treatment of Dupuytren's disease in 2011. Reported adverse effects include skin tears, swelling, pain and complex regional pain syndrome. Here, we present a case of a rare complication of phalangeal fracture following treatment with collagenase clostridium and the resultant digital amputation. Read More

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http://dx.doi.org/10.1308/rcsann.2019.0019DOI Listing

Domestic Horse Bite: An Unusual Etiology of Crush Injury of the Fourth Finger-How to Manage?

Case Rep Infect Dis 2019 30;2019:2156269. Epub 2019 Jan 30.

Orthopedic Surgery and Traumatology, Department of Orthopedic Surgery and Traumatology, Military Hospital Mohammed V (HMIMV), BP 10100 Rabat, Morocco.

Almost 2% of all emergency admissions involve an animal bite. While horses bite humans very rarely, their bites are mostly associated with fatalities. Herein, we report the case of a 23-year old bitten by a domestic horse causing a crush injury to his fourth finger with fracture dislocation of the proximal interphalangeal joint. Read More

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http://dx.doi.org/10.1155/2019/2156269DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374822PMC
January 2019
2 Reads

Long-term follow-up of patients with Buerger's disease after autologous stem cell therapy.

Anatol J Cardiol 2019 Mar;21(3):155-162

Department of Cardiovascular Surgery, Faculty of Medicine, Ankara University; Ankara-Turkey.

Objective: We investigated the long-term results of autologous bone marrow mononuclear cells (ABMMNCs) implantation in patients with Buerger's disease (BD).

Methods: Twenty-eight patients (25 males and 3 females) who had BD and critical unilateral limb ischemia were investigated between April 2003 and August 2005. The patients were administered multiple injections of CD34+ and CD45+ positive ABMMNCs into the gastrocnemius muscle, the intermetatarsal region, and the dorsum of the foot (n=26) or forearm (n=2) and saline injection into the contralateral limb. Read More

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http://dx.doi.org/10.14744/AnatolJCardiol.2018.12354DOI Listing

Digital Amputation by Congenital Insensitivity to Pain with Anhidrosis.

J Pediatr 2019 Feb 5. Epub 2019 Feb 5.

Division of Neurology, National Center for Child Health and Development, Tokyo, Japan.

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http://dx.doi.org/10.1016/j.jpeds.2019.01.023DOI Listing
February 2019

A framework for measuring the time-varying shape and full-field deformation of residual limbs using 3D digital image correlation.

IEEE Trans Biomed Eng 2019 Jan 24. Epub 2019 Jan 24.

Effective prosthetic socket design following lower-limb amputation depends upon the accurate characterization of the shape of the residual limb as well as its volume and shape fluctuations.

Objective: This study proposes a novel framework for the measurement and analysis of residual limb shape and deformation, using a high-resolution and low-cost system.

Methods: A multi-camera system was designed to capture sets of simultaneous images of the entire residuum surface. Read More

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http://dx.doi.org/10.1109/TBME.2019.2895283DOI Listing
January 2019
1 Read

Middle phalangectomy with shortening fusion of the fifth finger in Dupuytren's digital hooks.

Hand Surg Rehabil 2019 Jan 18. Epub 2019 Jan 18.

Centre de la Main, Angers assistance Main, Village Santé Angers Loire, 47, rue de la Foucaudière, 49800 Trélazé, France; CHU Tahar Sfar, avenue Tahar Sfar, 5100 Mahdia, Tunisia.

Severe contracture of the little finger due to Dupuytren's disease continues to be a therapeutic problem. Fifth finger amputation, which is sometimes the only solution, has a major negative impact on function and appearance, and exposes the patient to adjacent digital hook aggravation. Middle phalangectomy with finger shortening fusion is an alternative surgical solution. Read More

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http://dx.doi.org/10.1016/j.hansur.2018.12.003DOI Listing
January 2019
13 Reads

Expanded Utilization of the Digital Atasoy Flap.

Plast Reconstr Surg Glob Open 2018 Dec 5;6(12):e2049. Epub 2018 Dec 5.

Division of Plastic, Reconstructive and Aesthetic Surgery, University of Miami Leonard M. Miller School of Medicine, Miami, Fla.

Background: The Atasoy, or Kleinert flap, is well-known to hand surgeons. This triangular volar V-Y flap is frequently used for reconstruction of fingertip amputations with exposed bone. It is indicated in transverse amputations or in dorsal oblique amputations, providing replacement of an area of skin and subcutaneous tissues with sensibility. Read More

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http://dx.doi.org/10.1097/GOX.0000000000002049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6326594PMC
December 2018
13 Reads

An Application for Skin Macules Characterization Based on a 3-Stage Image-Processing Algorithm for Patients with Diabetes.

J Healthc Eng 2018 16;2018:9397105. Epub 2018 Dec 16.

División de Investigación en Ingeniería Médica, Instituto Nacional de Rehabilitación "Luis Guillermo Ibarra Ibarra", Calz. México-Xochimilco No. 289, Col. Arenal de Guadalupe, Tlalpan, C.P. 14389 Ciudad de México, Mexico.

Diabetic skin manifestations, previous to ulcers and wounds, are not highly accounted as part of diagnosis even when they represent the first symptom of vascular damage and are present in up to 70% of patients with diabetes mellitus type II. Here, an application for skin macules characterization based on a three-stage segmentation and characterization algorithm used to classify vascular, petechiae, trophic changes, and trauma macules from digital photographs of the lower limbs is presented. First, in order to find the , a logical multiplication is performed on two skin masks obtained from color space transformations; dynamic thresholds are stabilised to self-adjust to a variety of skin tones. Read More

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https://www.hindawi.com/journals/jhe/2018/9397105/
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http://dx.doi.org/10.1155/2018/9397105DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6311831PMC
December 2018
7 Reads

Association of Ankle-Brachial Indices With Limb Revascularization or Amputation in Patients With Peripheral Artery Disease.

JAMA Netw Open 2018 Dec 7;1(8):e185547. Epub 2018 Dec 7.

Department of Cardiovascular Medicine, Mayo Clinic and Mayo Foundation, Rochester, Minnesota.

Importance: The prevalence and morbidity of peripheral artery disease (PAD) are high, with limb outcomes including revascularization and amputation. In community-dwelling patients with PAD, the role of noninvasive evaluation for risk assessment and rates of limb outcomes have not been established to date.

Objective: To evaluate whether ankle-brachial indices are associated with limb outcomes in community-dwelling patients with PAD. Read More

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http://dx.doi.org/10.1001/jamanetworkopen.2018.5547DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6324363PMC
December 2018
2 Reads

Infection of finger caused by Morganella morganii leading to digital amputation: A case report.

Medicine (Baltimore) 2019 Jan;98(2):e14002

Department of Orthopedics, Affiliated Hospital of Hebei University, Baoding, China.

Rationale: Digital infection is a common disease in clinic, featured by pain and swelling of digits. As far as we know, no article has reported a case of digital infected by Morganella morganii.

Patient Concerns: A 58-year-old Chinese female complains about whitlow with pain and swelling for 2 weeks. Read More

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http://dx.doi.org/10.1097/MD.0000000000014002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6336642PMC
January 2019
7 Reads

Clinical outcomes after digital subtraction angiography versus computed tomography angiography in the preoperative evaluation of lower limb peripheral artery disease.

Rev Port Cir Cardiotorac Vasc 2018 Jul-Dec;25(3-4):133-140

Medicine Faculty, University of Porto, Portugal; Department of Angiology and Vascular Surgery, Hospital São João, Porto, Portugal.

Introduction: Digital subtraction angiography (DSA) was considered the gold standard method for peripheral artery disease (PAD) evaluation. Notwithstanding, recent developments of computed tomography angiography (CTA) have improved the specificity and sensibility of this method. The main objective of this study is to characterize a cohort of patients with lower limb PAD and clarify if there are differences upon groups using different preoperative imaging methods (DSA or CTA). Read More

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December 2018

Objective assessment of lameness in cattle after foot surgery.

PLoS One 2018 28;13(12):e0209783. Epub 2018 Dec 28.

Clinic for Ruminants, Vetsuisse-Faculty, University of Berne, Berne, Switzerland.

Assessment of lameness in cattle after foot surgery is important to monitor the recovery period, to improve the long-term success and the cows` welfare. This longitudinal multicenter retrospective study was carried out to evaluate the usefulness of automated tools of weight bearing and gait analysis following foot surgery to support the clinician to monitor lameness in cattle. For this purpose, the effect of involvement of different anatomical structures and the use of different surgery methods on gait parameters of post-operative recovery was assessed. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0209783PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310356PMC
December 2018

Pedicled Abdominal Flaps for Enhanced Digital Salvage After Severe Frostbite Injury.

Wilderness Environ Med 2019 Mar 24;30(1):59-62. Epub 2018 Dec 24.

Department of Vascular Surgery, University Hospital Coventry and Warwickshire, Coventry, UK; Warwick Medical School, University of Warwick, Coventry, UK.

Extremities are the area of the body most commonly affected by frostbite, which can also affect the face, ears, perineum, or genitals. Optimum management has moved away from early amputation and debridement toward maximizing tissue preservation and delaying surgical intervention. Increasing length of digit amputation increases morbidity, in terms of loss of hand function, experienced by patients. Read More

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http://dx.doi.org/10.1016/j.wem.2018.09.003DOI Listing
March 2019
4 Reads

Multiple melanoma in a burns scar.

BMJ Case Rep 2018 Dec 22;11(1). Epub 2018 Dec 22.

Department of Plastic Surgery, Joondalup Health Campus, Joondalup, Australia.

It is well known that up to 2% of chronic burn scar lesions can transform into malignant tumours, however, melanoma formation at these sites is extremely rare. This case report describes a burns case, which progressed to four melanomas in a 78-year-old male patient's little finger, 40 years after the initial incident. The patient underwent 3 mm punch biopsies, then digital amputation of the finger with pathology-proven melanoma. Read More

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http://dx.doi.org/10.1136/bcr-2018-227295DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6307599PMC
December 2018
2 Reads

Idiopathic aggressive myositis ossificans of the hand infiltrating the flexor sheath/checkrein ligament, obliterating the common digital artery, and attenuating the digital nerve: A case report.

Int J Surg Case Rep 2018 22;53:424-428. Epub 2018 Nov 22.

Department of Surgery at King Saud University, Riyadh, Saudi Arabia; King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia. Electronic address:

Introduction: Myositis ossificans of the hand is extremely rare and tumors do not usually infiltrate adjacent structures. We present a very unusual case with a tumor infiltrating adjacent structures.

Report Of A Case: A 30-year-old female presented with a 5-week history of a painful rapidly-growing mass over the proximal phalanx of the right ring finger. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183055
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http://dx.doi.org/10.1016/j.ijscr.2018.11.042DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6262803PMC
November 2018
5 Reads

Continuous Temperature-Monitoring Socks for Home Use in Patients With Diabetes: Observational Study.

J Med Internet Res 2018 Dec 17;20(12):e12460. Epub 2018 Dec 17.

Siren Care Inc, San Francisco, CA, United States.

Background: Over 30 million people in the United States (over 9%) have been diagnosed with diabetes. About 25% of people with diabetes will experience a diabetic foot ulcer (DFU) in their lifetime. Unresolved DFUs may lead to sepsis and are the leading cause of lower-limb amputations. Read More

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http://dx.doi.org/10.2196/12460DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6315272PMC
December 2018
17 Reads

The success of salvage procedures for failing digital replants: A retrospective cohort study.

Microsurgery 2018 Nov 29. Epub 2018 Nov 29.

Division of Plastic Surgery, Department of Surgery, McMaster University, Hamilton, Ontario, Canada.

Background: The success of salvage procedures for failing digital replants (FR) is poorly documented. We sought to evaluate the success of salvage procedures for FR and factors contributing to successes and failures of replants.

Methods: Adult patients who presented to our center between January 1, 2000 and December 31, 2015, suffered ≥1 digital amputation(s), and underwent digital replantation were included. Read More

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http://doi.wiley.com/10.1002/micr.30379
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http://dx.doi.org/10.1002/micr.30379DOI Listing
November 2018
11 Reads

Axonal regrowth is impaired during digit tip regeneration in mice.

Dev Biol 2019 Jan 17;445(2):237-244. Epub 2018 Nov 17.

Department of Veterinary Physiology and Pharmacology, College of Veterinary Medicine and Biomedical Sciences, Texas A&M University, College Station, TX 77843, USA; Department of Cell and Molecular Biology, School of Science and Engineering, Tulane University, New Orleans, LA 70118, USA. Electronic address:

Mice are intrinsically capable of regenerating the tips of their digits after amputation. Mouse digit tip regeneration is reported to be a peripheral nerve-dependent event. However, it is presently unknown what types of nerves and Schwann cells innervate the digit tip, and to what extent these cells regenerate in association with the regenerative response. Read More

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http://dx.doi.org/10.1016/j.ydbio.2018.11.010DOI Listing
January 2019
13 Reads

Arterialization of the Venous System for Acute and Chronic Ischemia of the Hand: A Case Series With Prospective Duplex Ultrasound Assessment.

Hand (N Y) 2018 Nov 12:1558944718810873. Epub 2018 Nov 12.

1 University of Manitoba, Winnipeg, Canada.

Background: Ischemia of the hand is a debilitating condition. In many cases, the cause of ischemia is diffuse atherosclerosis with no distal vessels available for bypass. In these situations, options are limited to restore perfusion, and there is a potential role for arterialization of the venous system to relieve ischemic pain and avoid amputation. Read More

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http://dx.doi.org/10.1177/1558944718810873DOI Listing
November 2018

[Promising methods of studying perfusion in patients with atherosclerosis of peripheral arteries].

Angiol Sosud Khir 2018;24(3):32-37

Ryazan State Medical University named after Academician I.P. Pavlov under the RF Ministry of Public Health, Ryazan, Russia.

Prevalence of atherosclerotic peripheral artery disease (PAD) has steadily been increasing all over the world, affecting approximately 10% of the population. PAD dramatically decreases the patients' quality of life and is accompanied by high risks of limb amputation and death. Reconstructive and restorative interventions make it possible to achieve the highest success in treatment of PAD. Read More

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December 2018
3 Reads

Finger Replantation Optimization Study (FRONT): Update on National Trends.

J Hand Surg Am 2018 Oct;43(10):903-912.e1

Section of Plastic Surgery, Department of Surgery, Michigan Medicine, Ann Arbor, MI. Electronic address:

Purpose: Traumatic digit amputations have an adverse impact on patients' daily living. Despite experts advocating for digit replantation, studies have shown a continued decrease in rate of replantation. We performed a national-level investigation to examine the recent trend of practice for digital replantation. Read More

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http://dx.doi.org/10.1016/j.jhsa.2018.07.021DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6176738PMC
October 2018
9 Reads

Resolving Digital Staphylococcal Osteomyelitis Using Bacteriophage-A Case Report.

Antibiotics (Basel) 2018 Oct 2;7(4). Epub 2018 Oct 2.

VA Northern California, Muir Road, Martinez CA, USA.

Infections involving diabetic foot ulcers (DFU) are a major public health problem and have a substantial negative impact on patient outcomes. Osteomyelitis in an ulcerated foot substantially increases the difficulty of successful treatment. While literature suggests that osteomyelitis in selected patients can sometimes be treated conservatively, with no, or minimal removal of bone, we do not yet have clear treatment guidelines and the standard treatment failure fallback remains amputation. Read More

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http://www.mdpi.com/2079-6382/7/4/87
Publisher Site
http://dx.doi.org/10.3390/antibiotics7040087DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6316425PMC
October 2018
2 Reads

Small Finger to Ring Finger Ray Transposition: Modern Surgical Technique and Case-based Review of the Literature.

Plast Reconstr Surg Glob Open 2018 Jun 15;6(6):e1793. Epub 2018 Jun 15.

Department of Orthopaedic Surgery, MetroHealth Medical Center, Cleveland, Ohio.

Ray transposition for central digital amputation has been performed following traumatic injury to the hand for decades. Small finger to ring finger ray transposition has been well described in the literature, with good functional and aesthetic outcomes reported. Originally described by Bunnell, the fourth metacarpal can be disarticulated and the fifth metacarpal base transposed with reconstruction of the intermetacarpal ligament allowing progressive closure between the third and fifth rays. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001793DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6157931PMC
June 2018
2 Reads

Digital Ischemia as an Unusual Manifestation of Hodgkin's Lymphoma.

Case Rep Hematol 2018 19;2018:1980749. Epub 2018 Aug 19.

Department of Hematology, Médica Uruguaya (MUCAM), Montevideo, Uruguay.

Digital ischemia is associated with atherosclerotic, thromboembolic, or connective tissue diseases. Less often, it can be related to malignancy. Paraneoplastic vascular acrosyndromes (Raynaud's syndrome, acrocianosis, and acronecrosis) are associated with adenocarcinoma and less frequently with hematological malignancies. Read More

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http://dx.doi.org/10.1155/2018/1980749DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6120276PMC
August 2018
5 Reads

Radiofrequency Ablation of the Stellate Ganglion for Management of Acute Digital Ischemia: A Case Report.

A A Pract 2018 Oct;11(7):189-192

New York Medical College, Valhalla, New York.

The authors present a report of a pulsed radiofrequency ablation of the stellate ganglion performed on a patient with microemboli to the hand from a thrombosed abandoned arteriovenous fistula. The patient was initially managed using vasodilators and anticoagulation. However, the patient's skin mottling, pain, and decreased strength persisted. Read More

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http://dx.doi.org/10.1213/XAA.0000000000000869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159666PMC
October 2018
6 Reads

[Complex management of macrodactylia of the hand: between aesthetic and functional prejudice].

Pan Afr Med J 2018 18;30:45. Epub 2018 May 18.

Service de Chirurgie Plastique, CHU Mohammed VI, Marrakech, Maroc.

Macrodactylia is a rare congenital malformation of unknown origin that can affect the fingers or the toes. It is characterized by an increase in the size of all the elements of one or more rays, recognizable at birth or occurring in a progressive manner. Social, aesthetic as well as functional impact imposes early surgical management or even amputations in advanced forms. Read More

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http://dx.doi.org/10.11604/pamj.2018.30.45.15118DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6125281PMC
September 2018
13 Reads

An elusive case of digital ischemia in a patient with Rheumatoid Arthritis.

Pak J Med Sci 2018 Jul-Aug;34(4):1024-1026

Dr. Asif Jan Muhammad, MBBS, MCPS, MRCP (UK). Medicine Department, Patel Hospital, ST-18, Block-4, Gulshan-e-Iqbal, Karachi, Pakistan.

Essential thrombocytosis (ET) has rarely been reported with autoimmune rheumatic disorders. We report a case of young female, diagnosed case of Rheumatoid arthritis (RA), who had been overlooked for her raised platelet counts. Later her symptoms of impending digital gangrene led to an active search for her thrombocytosis. Read More

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http://dx.doi.org/10.12669/pjms.344.15281DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115556PMC
September 2018
14 Reads

Analysis of the risk factors that determine composite graft survival for fingertip amputation.

J Hand Surg Eur Vol 2018 Dec 3;43(10):1030-1035. Epub 2018 Sep 3.

Department of Plastic and Reconstructive Surgery, Dongguk University Ilsan Hospital, Goyang, Korea.

The composite graft is the only surgical method that is able to maintain digital length and provide soft tissue coverage without donor site morbidities in microsurgically non-replantable fingertip amputations. This study aimed to explore the risk factors that determine the survival of composite grafts. Clinical characteristics associated with graft survival were retrospectively analysed by a comparison between the graft survival and failure groups. Read More

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http://journals.sagepub.com/doi/10.1177/1753193418795820
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http://dx.doi.org/10.1177/1753193418795820DOI Listing
December 2018
10 Reads

Acrocutaneous metastasis - A rare presentation.

Int J Surg Case Rep 2018 9;51:178-180. Epub 2018 Aug 9.

Department of General Surgery, Kasturba Medical College Manipal University, Manipal, India. Electronic address:

Introduction: Cutaneous metastasis from head and neck cancer is uncommon and it is seen from laryngeal cancer. Acrocutaneous metastasis from the base of tongue is relatively rare.

Case Report: We present a case of a 84-year-old male, previously diagnosed to have moderately differentiated squamous carcinoma of the base of tongue with lung and liver metastases and received palliative chemoradiation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22102612183028
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http://dx.doi.org/10.1016/j.ijscr.2018.07.036DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6122369PMC
August 2018
25 Reads

Complications and Pitfalls after Finger Replantation in Young Children.

J Hand Microsurg 2018 Aug 20;10(2):74-78. Epub 2018 Mar 20.

Department of Pediatric Orthopedic and Reconstructive Surgery, Trousseau Hospital, Paris, France.

This is a retrospective cohort study. The authors report surgical outcome in a series of very young children who underwent finger replantation after traumatic amputation. During a 10-year period, 65 children were treated with replantation for finger amputation in two institutions. Read More

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http://dx.doi.org/10.1055/s-0038-1626684DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103751PMC
August 2018
1 Read

Predictors of Digit Survival following Replantation: Quantitative Review and Meta-Analysis.

J Hand Microsurg 2018 Aug 20;10(2):66-73. Epub 2018 Mar 20.

Department of Plastic Surgery, University of California, Irvine, Orange, California, United States.

Microsurgical replantation following digital amputation has variable success rates. Sociodemographic factors and surgery-related variables have been shown to influence survival rates; however, few studies have evaluated these data systematically across a combined dataset. Therefore, the objective of this study was to analyze the current literature to identify the predictors of replant survival. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1626689
Publisher Site
http://dx.doi.org/10.1055/s-0038-1626689DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6103763PMC
August 2018
24 Reads

Predictors of Hand Dexterity after Single-Digit Replantation.

J Reconstr Microsurg 2019 Mar 28;35(3):194-197. Epub 2018 Aug 28.

Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.

Background:  Microsurgical replantation of the thumb and digits has become an increasingly familiar technique in clinical practice worldwide. However, successful digit replantation does not always provide better hand function than revision amputation. Little information is available regarding predictors of motor skill activities of replanted hands. Read More

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http://www.thieme-connect.de/DOI/DOI?10.1055/s-0038-1669446
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http://dx.doi.org/10.1055/s-0038-1669446DOI Listing
March 2019
10 Reads

Upper Limb Phlegmasia Cerulea Dolens Secondary to Heparin-induced Thrombocytopenia Leading to Gangrene.

Cureus 2018 Jun 21;10(6):e2853. Epub 2018 Jun 21.

Hematology and Oncology, University of Nebraska, Omaha, USA.

We present a case of a dialysis-dependent end-stage renal disease patient who originally presented with sepsis and later developed heparin-induced thrombocytopenia-related upper extremity deep venous thrombosis that rapidly progressed to phlegmasia. Argatroban, a direct thrombin inhibitor, was initiated without delay. Argatroban restored the venous patency completely but did not reverse his two gangrenous fingers. Read More

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http://dx.doi.org/10.7759/cureus.2853DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6104908PMC
June 2018
5 Reads

[The development and present situation of limb replanting and reconstruction in China].

Authors:
Yimin Chai

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2018 Jul;32(7):798-802

Department of Orthopedics, Shanghai Jiao Tong University Affiliated Sixth People's Hospital, Shanghai, 200233,

The replantation of amputated finger (or limb) and the reconstruction of the thumb and fingers started in 1960s in China. With the development of microsurgical techniques, both finger replantation and reconstruction achieved worldwide significant success. And now it is not the survival rate but the function of replanted finger that attracted more attention. Read More

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http://dx.doi.org/10.7507/1002-1892.201806052DOI Listing
July 2018
13 Reads

Peripheral vascular manifestation in patients receiving an amphetamine analog: A case series.

Vasc Med 2019 Feb 14;24(1):50-55. Epub 2018 Aug 14.

1 Cardiology Division, Massachusetts General Hospital, Boston, MA, USA.

Amphetamine and its related derivatives and analogues (ADRA) are highly addictive central nervous system stimulants that are used commonly in the treatment of attention-deficit/hyperactivity disorder and narcolepsy. These medications are associated with many side effects but reports of peripheral arterial manifestations associated with ADRA usage are scarce. We retrospectively reviewed the records of 16 patients (median age 37 years (IQR 31-47), 13 females) referred to a single tertiary referral service while receiving ADRA. Read More

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http://dx.doi.org/10.1177/1358863X18790101DOI Listing
February 2019
9 Reads

Why Not Life and Limb? Vasopressor Use in Intensive Care Unit Patients the Cause of Acute Limb Ischemia.

Hand (N Y) 2018 Aug 3:1558944718791189. Epub 2018 Aug 3.

2 Temple University Hospital, Philadelphia, PA, USA.

Background: Acute limb ischemia (ALI) of the upper extremity is a rare yet severe condition in intensive care unit (ICU) patients that generally leads to amputation. The aim of this study is to determine risk factors for development of upper extremity limb ischemia in ICU patients requiring vasopressor support.

Methods: This is a retrospective study conducted from 2010 to 2015. Read More

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http://dx.doi.org/10.1177/1558944718791189DOI Listing

Outcomes of upper extremity interventions for chronic critical ischemia.

J Vasc Surg 2019 Jan 29;69(1):120-128.e2. Epub 2018 Jul 29.

Division of Vascular and Endovascular Surgery, Department of Surgery, Long School of Medicine, University of Texas Health at San Antonio, San Antonio, Tex; South Texas Center for Vascular Care, South Texas Medical Center, San Antonio, Tex. Electronic address:

Background: Critical hand ischemia owing to below-the-elbow atherosclerotic occlusive disease is relatively uncommon. The aim of this study was to examine the outcomes in patients presenting with critical ischemia owing to below-the-elbow arterial atherosclerotic disease who underwent nonoperative and operative management.

Methods: A database of patients undergoing operative and nonoperative management for symptomatic below-the-elbow atherosclerotic disease between 2006 and 2016 was retrospectively queried. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.04.056DOI Listing
January 2019

Descriptive anatomy of the anterior cruciate ligament femoral insertion.

Rev Bras Ortop 2018 Jul-Aug;53(4):421-426. Epub 2018 Jun 8.

Departamento de Ortopedia, Faculdade de Ciências Médicas e da Saúde de Sorocaba, Pontifícia Universidade Católica de São Paulo (PUC-SP), Sorocaba, SP, Brazil.

Objective: To evaluate the morphology of the anterior cruciate ligament (ACL) femoral insertion in order to describe its anatomical features and insertion site location, with the aim of verifying if the ACL femoral insertion has individual characteristics and to provide information for appropriate femoral tunnel placement on anatomic ACL reconstruction.

Methods: Sixteen knees obtained from amputations were studied. The ACL femoral bundles and insertion shape were observed macroscopically, and the ligaments insertion length and thickness were measured with a digital caliper. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S22554971183006
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http://dx.doi.org/10.1016/j.rboe.2018.05.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6051963PMC
June 2018
22 Reads

Ischemic necrosis of the digits and hyperlipidemia associated with atherosclerosis in a Miniature American Shepherd.

J Am Vet Med Assoc 2018 Jul;253(2):209-214

CASE DESCRIPTION A 2.5-year-old 12-kg (26.4-lb) castrated male Miniature American Shepherd was referred because of a 3-week history of a localized crusted skin lesion on the digital pad of digit 3 of the right hind limb. Read More

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http://dx.doi.org/10.2460/javma.253.2.209DOI Listing
July 2018
4 Reads

Secondary Surgery following Initial Replantation/Revascularization or Completion Amputation in the Hand or Digits.

Plast Reconstr Surg 2018 09;142(3):709-716

Boston, Mass. From the Hand and Upper Extremity Service, Massachusetts General Hospital, Harvard Medical School.

Background: The authors studied the rate of secondary surgery following replantation/revascularization or completion amputation in patients with traumatic upper extremity injuries. The authors hypothesized that there are no factors associated with secondary surgery after initial treatment and that travel distance to the authors' hospital does not influence the number of secondary operations.

Methods: A multi-institutional retrospective study was performed including patients presenting from 2006 to 2014. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004647DOI Listing
September 2018
2 Reads

Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap.

Rev Bras Ortop 2018 Mar-Apr;53(2):200-207. Epub 2018 Feb 27.

Hospital do Servidor Público Municipal (HSPM), Departamento de Ortopedia e Traumatologia, Centro de Cirurgia e Microcirurgia da Mão, São Paulo, SP, Brazil.

Objective: To assess the homodigital flap surgical procedure, as well as the function of the finger, pain, sensation, esthetics, and patient satisfaction.

Method: Retrospective analysis of records and questionnaires of patients who underwent this surgical technique between the months of May 2013 and October 2016. Eight were included in the study, with an average follow-up period of 23 months. Read More

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http://dx.doi.org/10.1016/j.rboe.2017.01.011DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6001392PMC
February 2018

A Novel Muscle Transfer for Independent Digital Control of a Myoelectric Prosthesis: The Starfish Procedure.

J Hand Surg Am 2019 Feb 19;44(2):163.e1-163.e5. Epub 2018 Jun 19.

OrthoCarolina Reconstructive Center for Lost Limbs, Atrium Healthcare, Charlotte, NC; Department of Orthopedic Surgery, Atrium Healthcare, Charlotte, NC.

Control of independent digital flexion and extension has remained an elusive goal in myoelectric prosthetics for upper extremity amputees. We first performed a cadaver study to determine the feasibility of transferring the interossei muscles for each digit to the dorsum of the hand without damaging the neurovascular pedicles. Once this capability was ensured, a clinical case was performed transferring the interossei of the middle and ring fingers to the dorsum of the hand where they could serve as a myoelectric signal for a partial hand amputee to allow individual digital control with a myoelectric prosthesis. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03635023173144
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http://dx.doi.org/10.1016/j.jhsa.2018.04.009DOI Listing
February 2019
7 Reads

Evaluating treatments with topical anaesthetic and buccal meloxicam for pain and inflammation caused by amputation dehorning of calves.

PLoS One 2018 13;13(6):e0198808. Epub 2018 Jun 13.

The University of Sydney, Faculty of Science, Sydney School of Veterinary Science, Sydney, New South Wales, Australia.

To assess the effects of a topical anaesthetic (TA) and buccal meloxicam (BM) on behaviour, maximum wound temperature and wound morphology following amputation dehorning of beef calves, 50 unweaned Hereford calves were randomly allocated to: (1) sham dehorning / control (CON, n = 14); (2) amputation dehorning (D, n = 12); (3) amputation dehorning with pre-operative buccal meloxicam (DBM, n = 12); and (4) amputation dehorning with post-operative topical anaesthetic (DTA, n = 12). Videos of the calves were captured for 3 h following treatment. Each calf was later observed for 5 min every hour and the frequency and duration of specific behaviours displayed during these focal periods was recorded. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0198808PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5999227PMC
January 2019

Mohs micrographic surgery for digital melanoma and nonmelanoma skin cancers.

Cutis 2018 May;101(5):346-352

Private practice, Chevy Chase, Maryland, and Department of Dermatology, Georgetown University Hospital, Washington, DC, USA.

Treatment of digital skin cancers is challenging due to various functional and cosmetic implications. Traditionally, routine treatment includes radical amputation, but digital skin cancers are increasingly being treated with more conservative, tissue-sparing methods such as Mohs micrographic surgery (MMS), which provides excellent tissue conservation and margin control when used to treat melanoma and nonmelanoma skin cancers (NMSCs). In this study, we conducted a retrospective chart review to evaluate clinical outcomes following MMS for treatment of digital melanoma and NMSCs. Read More

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May 2018
1 Read

Infectious flexor hand tenosynovitis: State of knowledge. A study of 120 cases.

J Orthop 2018 Jun 12;15(2):701-706. Epub 2018 May 12.

Hand & Upper Limb Unit, SOS Main/Hôpital Européen G. Pompidou, 20 rue Leblanc, 75015, Paris, France.

Introduction: Since Kanavel in 1905, knowledge of phlegmon of flexor tendon sheaths of the fingers have evolved over the twentieth century. This serious infection is 20% of infections of the hand and may have adverse consequences for the function of the finger and even beyond, of the hand. Amputation is always a risk. Read More

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http://dx.doi.org/10.1016/j.jor.2018.05.030DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5990318PMC
June 2018
29 Reads

The Impact of Microsurgery on Congenital Hand Anomalies Associated with Amniotic Band Syndrome.

Plast Reconstr Surg Glob Open 2018 Apr 4;6(4):e1657. Epub 2018 Apr 4.

Background: Amniotic Band Syndrome is a clinical constellation of congenital anomalies characterized by constricting rings, tissue synechiae and amputation of body parts distal to the constriction bands. Involvement of the hand with loss of multiple digits not only leads to devastating deformities but also loss of functionality.

Methods: In this series, utilizing microvascular transfer of the second toe from both feet, along with local tissue reconfiguration, a tetra-digital hand with simile of normal cascade was reconstructed. Read More

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http://dx.doi.org/10.1097/GOX.0000000000001657DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977965PMC
April 2018
21 Reads