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Adult Mouse Digit Amputation and Regeneration: A Simple Model to Investigate Mammalian Blastema Formation and Intramembranous Ossification

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Time to Amputation After Traumatic Digital Injury Does Not Affect Complication Rates: A Retrospective

Makenna Ash¹, Jennifer Wang¹, Ambika Menon²

¹Emory University School of Medicine, Atlanta, GA, USA.

Hand (New York, N.Y.)

|December 18, 2024

Summary

This summary is machine-generated.

Timing of revisionary traumatic digital amputation surgery does not significantly impact complication or reoperation rates. Surgeons can consider this data when determining the urgency of surgical intervention for patients with traumatic digital amputations.

Keywords:

amputation anatomy diagnosis digits finger fracture/dislocation hand specialty surgery trauma

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Area of Science:

Orthopedic Surgery
Trauma Surgery
Hand Surgery

Background:

Revisionary digital amputations aim to preserve length and function after traumatic amputations.
Surgeons often prioritize rapid surgical intervention following initial injury.

Purpose of the Study:

To investigate the impact of time from injury to surgery on complication and reoperation rates in revisionary traumatic digital amputations.

Main Methods:

Retrospective chart review of 97 patients undergoing revisionary digital amputation.
Data collected included demographics, comorbidities, surgical details, complications, and time to surgery.
Outcomes assessed were complications, reoperations, neuroma, phantom limb, and pain specialist referral.

Main Results:

Average time to surgery was 14.4 days.
Time to surgery was not significantly associated with increased risk of complications, neuroma, phantom limb, or pain referral.
Absence of diabetes and hypertension were significantly associated with reoperation.

Conclusions:

Increasing time to surgery after traumatic digital amputation does not significantly increase complication or reoperation risks.
Surgical timing should be considered when assessing urgency for these procedures.