Evidence map›Paper›PMID 40182866›Full record

ReviewJournal of hand surgery global online2025

Current Principles in the Management of a Mangled Hand.

Martina Macrì, Pierfrancesco Pugliese, Graziano Accardo, Alice Clemente, Valentina Cecconato, Simona Odella, Pierluigi Tos

Abstract readReview
PubMed Full text at PMC Publisher
In one paragraph

Review in Journal of hand surgery global online, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

7 authors.

Martina MacrìUOC Chirurgia della Mano e Microchirurgia Ricostruttiva - ASST Gaetano Pini - CTO, Milano, Italy.
Pierfrancesco PuglieseUOC Chirurgia Plastica, Policlinico Giaccone, Palermo, Italy.
Graziano AccardoUOC Chirurgia Plastica, Policlinico Giaccone, Palermo, Italy.
Alice ClementeUOC Chirurgia della Mano e Microchirurgia Ricostruttiva - ASST Gaetano Pini - CTO, Milano, Italy.
Valentina CecconatoUOC Chirurgia della Mano e Microchirurgia Ricostruttiva - ASST Gaetano Pini - CTO, Milano, Italy.
Simona OdellaUOC Chirurgia della Mano e Microchirurgia Ricostruttiva - ASST Gaetano Pini - CTO, Milano, Italy.
Pierluigi TosUOC Chirurgia della Mano e Microchirurgia Ricostruttiva - ASST Gaetano Pini - CTO, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mangled upper-extremity injuries can have devastating consequences for the patient. The goal of treatment was to recreate a functional hand with a minimum of three sensitive and opposable fingers to achieve an acceptable quality of life. Early management of injuries is critical to treatment success. Initial assessment begins in the emergency department where the injury is quantified and the amputated segments are evaluated, particularly the possibility of replanting them or using them as spare parts as tissue bank. In the operating room, careful debridement is essential for any reconstruction. Despite advances in reconstructive techniques, the management of these injuries is a challenge for the surgeon. The main treatment guidelines and a step-by-step approach to the mangled hand are presented to achieve acceptable results.

Indexed as

Mangled handReconstructive microsurgeryReplantationRevascularization

Identifiers

PMID40182866
PMCPMC11963006

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.