Evidence map›Paper›PMID 32684687›Full record

ArticleJournal of clinical orthopaedics and trauma

Guidelines for management of crush injuries of the hand.

Amitabha Lahiri

Erratum issuedAbstract read
In one paragraph

Article in Journal of clinical orthopaedics and trauma. 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 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

1 author.

Amitabha LahiriDepartment of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Crush injuries of the hand involve damage to multiple structures within the hand, loss of tissue, devascularisation and possibly amputation of digits. They are complex and difficult to classify. Each injury has a unique pattern and requires a unique plan of management. There are no set procedures that can be described, however fundamental principles can be laid down to guide surgical management. Optimum management requires a planned and decisive approach. The surgeon or the team must be well versed with techniques necessary for management of all the structures within the hand, microsurgery and free tissue transfer. The essential components of management are, accurate assessment of the injury and creating a reconstructive plan by structures. The essential components for primary surgery are precise and complete debridement, skeletal stabiliation, vascular repair and if vessels are exposed, soft tissue cover. Secondary surgery should include procedures to enhance the function of the hand or to improve the aesthetics of the hand. These include bone grafting, fusion, tendon and nerve reconstruction, flap de-bulking and toe to hand transfers. The following article is a concise synthesis of the fundamental principles which a hand surgeon must understand while undertaking these challenging procedures.

Indexed as

AmputationCrushHandReconstructionTrauma

Identifiers

PMID32684687
PMCPMC7355059

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.