SynthesisPlastic and reconstructive surgery2015
A Systematic Review of Outcomes after Revision Amputation for Treatment of Traumatic Finger Amputation.
Synthesis in Plastic and reconstructive surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 11 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
11 citing papers in PubMed, 38 citations in OpenAlex.
- Semi-occlusive dressings for the management of fingertip amputations: A systematic review.Journal of hand and microsurgery · 2025Review
- Risk Factors for Secondary Revision After Finger Amputations.Hand (New York, N.Y.) · 2024Article
- Hand and Wrist Amputation: A Demographic Analysis Using the National Inpatient Sample.Hand (New York, N.Y.) · 2024Article
- Phalangeal Fractures Requiring Vascular Reconstruction: Epidemiology and Factors Predictive of Reoperation.Hand (New York, N.Y.) · 2024Article
- Personalized Treatment Decisions for Traumatic Proximal Finger Amputations: A Retrospective Cohort Study.Journal of personalized medicine · 2023Article
- Predictors of Success following Microvascular Replantation Surgery of the Upper Extremity in Adult Patients.Plastic and reconstructive surgery. Global open · 2022Article
- Reconstruction of motorcycle spokes wheel injury fingertip amputations with reposition flap technique: a report of 40 cases.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Fingertip Amputation Injury of Allen Type III Managed Conservatively with Moist Wound Dressings.The American journal of case reports · 2021Article
- Assessment of Tree-Based Statistical Learning to Estimate Optimal Personalized Treatment Decision Rules for Traumatic Finger Amputations.JAMA network open · 2020Article
- Digit Tip Injuries: Current Treatment and Future Regenerative Paradigms.Stem cells international · 2019Review
- Osseointegrated Finger Prostheses Using a Tripod Titanium Mini-Plate.Archives of plastic surgery · 2017Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundRevision amputation is often the treatment for traumatic finger amputation injuries. However, patient outcomes are inadequately reported, and their impact is poorly understood. The authors performed a systematic review to evaluate outcomes of revision amputation and amputation wound coverage techniques.
methodsThe authors searched all available English literature in the PubMed and Embase databases for articles reporting outcomes of nonreplantation treatments for traumatic finger amputation injuries, including revision amputation, local digital flaps, skin grafting, and conservative treatment. Data extracted were study characteristics, patient demographic data, sensory and functional outcomes, patient-reported outcomes, and complications.
resultsA total of 1659 articles were screened, yielding 43 studies for review. Mean static two-point discrimination was 5.0 ± 1.5 mm (n = 23 studies) overall, 6.1 ± 2.4 mm after local flap procedures, and 3.8 ± 0.4 mm after revision amputation. Mean total active motion was 93 ± 8 percent of normal (n = 6 studies) overall. It was 90 ± 9 percent of normal after local flap procedures and 95 percent of normal after revision amputation. Seventy-seven percent of patients reported cold intolerance after revision amputation. Ninety-one percent of patients (217 of 238) reported "satisfactory" or "good/excellent" ratings regardless of treatment.
conclusionsRevision amputation and conservative treatments result in better static two-point discrimination outcomes compared with local flaps. All techniques preserve total active motion, although arc of motion is slightly better with revision amputation. Revision amputation procedures are frequently associated with cold intolerance. Patients report "satisfactory," "good," or "excellent" ratings in appearance and quality of life with all nonreplantation techniques.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.