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Related Experiment Videos

Hand function following single ray amputation.

C A Peimer1, D R Wheeler, A Barrett

  • 1Department of Orthopaedic Surgery, Affiliated Hospitals of the University at Buffalo School of Medicine and Biomedical Sciences, State University of New York, USA.

The Journal of Hand Surgery
|December 10, 1999
PubMed
Summary
This summary is machine-generated.

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Primary ray resection in hand injuries leads to better functional outcomes and reduced work absence compared to secondary reconstruction. Early surgical intervention minimizes long-term costs and disability impacts.

Area of Science:

  • Orthopedic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Single ray resection is a surgical procedure for hand injuries.
  • It can be performed as a primary or secondary/reconstructive procedure.
  • Patient outcomes and functional recovery following ray resection vary.

Purpose of the Study:

  • To evaluate the outcomes of primary versus secondary/reconstructive single ray resection.
  • To assess functional recovery, patient satisfaction, and return to work.
  • To analyze the impact of compensation/litigation on surgical outcomes.

Main Methods:

  • Retrospective study of 25 patients undergoing single ray resection.
  • Follow-up ranged from 16 to 150 months (median 41 months).

Related Experiment Videos

  • Functional testing included Minnesota Rate of Manipulation and Grooved Pegboard tests; X-rays were reviewed.
  • Main Results:

    • Most patients reported subjective satisfaction with hand appearance and function.
    • Primary resection patients had shorter work absence (9 weeks) vs. secondary (16 weeks).
    • Statistically significant differences in grip strength and manipulation tests were noted between settled and unsettled compensation cases.

    Conclusions:

    • Primary single ray resection is associated with improved functional outcomes and reduced economic impact.
    • Unsettled compensation/litigation cases showed disparate functional results.
    • Early surgical intervention appears to limit costs and improve recovery post-hand injury.