Evidence map›Paper›PMID 28352604›Full record

ArticleArchives of plastic surgery2017

Osseointegrated Finger Prostheses Using a Tripod Titanium Mini-Plate.

Oscar J Manrique, Pedro Ciudad, Matthew Doscher, Federico Lo Torto, Ralph Liebling, Ricardo Galan

Abstract read
In one paragraph

Article in Archives of plastic surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Oscar J ManriqueDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
Pedro CiudadDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
Matthew DoscherDivision of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine, New York, NY, USA.
Federico Lo TortoDepartment of Plastic and Reconstructive Surgery, China Medical University Hospital, Taichung, Taiwan.
Ralph LieblingDivision of Plastic and Reconstructive Surgery, Albert Einstein College of Medicine, New York, NY, USA.
Ricardo GalanDepartamento De Cirugía Plástica y Reconstructiva, Hospital Militar Central, Universidad Militar "Nueva Granada", Bogotá, Colombia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDigital amputation is a common upper extremity injury and can cause significant impairment in hand function, as well as psychosocial stigma. Currently, the gold standard for the reconstruction of such injuries involves autologous reconstruction. However, when this or other autologous options are not available, prosthetic reconstruction can provide a functionally and aesthetically viable alternative. This study describes a novel technique, known as a tripod titanium mini-plate, for osseointegrated digit prostheses, and reviews the outcomes in a set of consecutive patients.

methodsA retrospective review of patients who underwent 2-stage prosthetic reconstruction of digit amputations was performed. Demographic information, occupation, mechanism of injury, number of amputated fingers, and level of amputation were reviewed. Functional and aesthetic outcomes were assessed using the quick disabilities of the arm, shoulder, and hand (Q-DASH) scale and a visual analog scale (VAS) score, respectively. In addition, complications during the postoperative period were recorded.

resultsSeven patients were included in this study. Their average age was 29 years. Five patients had single-digit amputations and 2 patients had multiple-digit amputations. Functional and aesthetic outcomes were assessed using the Q-DASH score (average, 10.4) and VAS score (average, 9.1), respectively. One episode of mild cellulitis was seen at 24 months of follow-up. However, it was treated successfully with oral antibiotics. No other complications were reported.

conclusionsWhen autologous reconstruction is not suitable for digit reconstruction, prosthetic osseointegrated reconstruction can provide good aesthetic and functional results. However, larger series with longer-term follow-up are required in order to rule out the possibility of other complications.

Indexed as

AmputationOsseointegrationOutcome assessmentProstheses

Identifiers

PMID28352604
PMCPMC5366522

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