TY  - JOUR
PY  - 2013//
TI  - A systematic review of outcomes of revision amputation treatment for fingertip amputations
JO  - Hand (NY)
A1  - Wang, Keming
A1  - Davis Sears, Erika
A1  - Shauver, Melissa J.
A1  - Chung, Kevin C.
SP  - 139
EP  - 145
VL  - 8
IS  - 2
N2  - PURPOSE: The purpose of this study was to conduct a systematic review of outcomes of fingertip revision amputation for fingertip amputation injuries in the English-language literature to provide best evidence of functional outcomes. METHODS: A MEDLINE literature search was performed to identify studies that met the following criteria: (1) reported primary data; (2) included at least five cases of primary revision amputation treatment following digit amputation injury; (3) reported finger or thumb amputation at or distal to the distal interphalangeal (DIP) joint or interphalangeal (IP) joint, respectively; (4) presented at least one of the following outcomes: static two-point discrimination (2PD), cold intolerance, arc of motion (AOM) of metacarpophalangeal (MCP) joints, proximal interphalangeal joints (PIP), DIP joints, or return-to-work time. RESULTS: Thirty-eight studies met the inclusion criteria. Twenty-seven studies reported 2PD, 20 studies reported cold intolerance, eight studies reported AOM, and 18 studies reported return-to-work time after revision amputation of fingertip injuries. The mean 2PD was 5.6 mm. On average, 24 % of patients experienced cold intolerance. AOM at the PIP joint was reported in four studies and averaged 94°. DIP joint AOM was presented in four studies and averaged 66°. Thumb MCP and IP joint AOM was presented in three and four studies, respectively. Mean thumb MCP joint AOM was 54° and that of the IP joint was 71°. The mean return-to-work time was 47 days. CONCLUSIONS: On average, fingertip revision amputation can achieve almost normal sensibility and satisfactory motion and patients can expect to return to work on average approximately 7 weeks after surgery.<p />  <p>Language: en</p>
LA  - en
SN  - 1558-9447
UR  - http://dx.doi.org/10.1007/s11552-012-9487-0
ID  - ref1
ER  -