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Updated: May 14, 2025

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Lessons Learned from Reconstructing Severe Hand Injuries During the COVID-19 Pandemic.

Christina Glisic1,2, Tonatiuh Flores1,2, Erol Konul1,2

  • 1Karl Landsteiner University of Health Sciences, Dr. Karl-Dorrek-Straße 30, 3500 Krems, Austria.

Journal of Clinical Medicine
|April 12, 2025
PubMed
Summary

During COVID-19, occupational finger amputations decreased, while private accidents increased. Despite challenges, hand trauma reconstructions achieved good outcomes through modifications like telemedicine.

Keywords:
COVID-19 pandemichand injurieshand surgerymicro amputation injuriestrauma

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Area of Science:

  • Trauma Surgery
  • Public Health
  • Epidemiology

Background:

  • COVID-19 significantly impacted healthcare systems, altering established treatment pathways for severe hand trauma.
  • A suspected shift in the epidemiology of severe hand trauma modalities necessitated an examination of treatment protocols.

Purpose of the Study:

  • To analyze changes in the management of micro amputation injuries before and during the COVID-19 pandemic.
  • To identify and address challenges in treating hand trauma patients during the health crisis.

Main Methods:

  • Retrospective analysis of finger amputation injuries treated at the University Hospital of St. Poelten from 2018 to 2022.
  • Examination of injury characteristics, treatment outcomes, and associated challenges during the pandemic.

Main Results:

  • A decline in occupational finger amputations was observed during the pandemic, with a concurrent rise in private accidents.
  • 130 injured fingers were treated, with successful reconstruction in 59 out of 67 feasible cases.
  • Challenges included reduced hand trauma centers, longer transport times, COVID-19 safety measures, and limited rehabilitation resources.

Conclusions:

  • Despite challenges affecting revascularization times, good results were achieved through modifications like back table preparation and telemedicine for patient selection.
  • Effective management of severe hand injuries during a global health crisis is possible with appropriate solutions.
  • The study highlights the adaptability of hand trauma care amidst unprecedented public health challenges.