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14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT)

17.06. - 21.06.2019, Berlin

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Implementation of a finger stump database after traumatic finger amputation – Concept evaluation and clinical consequences

Meeting Abstract

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  • presenting/speaker Arne Böcker - BG Klinik, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Ludwigshafen, Germany
  • Anne-Sophie Rasner - BG Klinik, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Ludwigshafen, Germany
  • Berthold Bickert - BG Klinik, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Ludwigshafen, Germany
  • Leila Harhaus - BG Klinik, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Ludwigshafen, Germany
  • Ulrich Kneser - BG Klinik, Klinik für Hand, Plastische und Rekonstruktive Chirurgie, Schwerbrandverletztenzentrum, Ludwigshafen, Germany

International Federation of Societies for Surgery of the Hand. International Federation of Societies for Hand Therapy. 14th Triennial Congress of the International Federation of Societies for Surgery of the Hand (IFSSH), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT), 11th Triennial Congress of the International Federation of Societies for Hand Therapy (IFSHT). Berlin, 17.-21.06.2019. Düsseldorf: German Medical Science GMS Publishing House; 2020. DocIFSSH19-1656

doi: 10.3205/19ifssh0979, urn:nbn:de:0183-19ifssh09798

Published: February 6, 2020

© 2020 Böcker et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

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Objectives/Interrogation: Aim of the current study is to evaluate risk factors, treatment strategies and outcome evaluation after traumatic finger amputation.

Replantation is still the gold standard for treatment of traumatic finder amputation. However, if replantation is not feasible or not preferable, generation of a stabile and sensible stump is mandatory. Although this is a straight-forward procedure, clinical outcome is not always predictable and neuroma and chronic pain pose significant challenges for patients, physicians and therapists. Still today, a precise analysis of the treatment and outcome after finger stump amputation is lacking.

Methods: In our retrospective analysis, we performed a chart review of finger stump amputation in 2007-2017. During this period, 1187 patients have been admitted to the study. Patients comorbidities, operation techniques, and especially postoperative treatment strategies, as well as the need for long-term rehabilitation, are reviewed and analyzed.

Results and Conclusions: Benefits and the potential of the implementation of a finger stump database for clinical usage will be considered. Furthermore, the resulting clinical adjustments following the implementation of the database are presented and discussed. Focussing on the short- and long-term complications, the kind of trauma, anatomical localization and the operative treatment applied are related. Moreover, comorbidities and social factors have an impact on rehabilitation time and functional outcome after traumatic finger amputation. Adjusted treatment plans and algorithm will be presented based on the data gathered in the study.

Functional impairment and rehabilitation times are influenced by multiple factors considering the applied operative treatment, comorbidities of the patient and the kind of trauma. The collected experience can be used for standardized treatment protocol after traumatic finger amputation.