AI Article Synopsis

  • Work in agriculture is hazardous, particularly because of mechanical equipment and the high risk of hand injuries.
  • A case study describes a 55-year-old man who suffered a non-work-related finger amputation and underwent an unusual replantation procedure by a novice surgeon.
  • Despite challenges like the lack of vascular reconstruction, the reattached finger surprisingly retained some blood supply; further surgeries and rehabilitation ultimately restored its function.

Article Abstract

Work in agriculture carries the risk of trauma as a result of mechanization (farm equipment and machinery), location of cultivated areas, and multi-functionality. In agriculture, the hands were the most affected parts of the body which sustained injury. Successful suturing of a finger initially disqualified from replantation is rare. The case is presented of a 55-year-old patient who had a non-work-related finger amputation. In a surgical centre not belonging to the reference ones in plastic surgery in Poland, a doctor with six months of surgical experience performed the replantation without vascular reconstruction (the amputated distal part of the finger served as a biological dressing). Despite the lack of vascular reconstruction and unfavourable prognosis, the amputated fragment of the finger maintained a partial blood supply. Subsequent flap surgery in the plastic surgery department, and rehabilitation of the patient due to finger contracture, led to functional recovery of the finger.

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http://dx.doi.org/10.26444/aaem/176089DOI Listing

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Article Synopsis
  • Work in agriculture is hazardous, particularly because of mechanical equipment and the high risk of hand injuries.
  • A case study describes a 55-year-old man who suffered a non-work-related finger amputation and underwent an unusual replantation procedure by a novice surgeon.
  • Despite challenges like the lack of vascular reconstruction, the reattached finger surprisingly retained some blood supply; further surgeries and rehabilitation ultimately restored its function.
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Purpose: Primary revision amputation is the most common treatment method for traumatic digit amputations in the United States. Few studies have reported secondary revision rates after primary revision amputation. The primary aim of our study was to identify risk factors for secondary revision within 1 year of the index procedure.

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Distal fingertip amputations are common injuries in work- and non-work-related accidents. There is a paucity of evidence to support use of any one treatment. We conducted a study to better understand how surgeon and patient factors influence the treatment preferences for distal fingertip amputations among a cross section of US and international hand surgeons.

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Farm worker injuries on Western Cape fruit farms: the role of the lay health worker.

Curationis

November 2005

Medical Research Council, PO Box 19070, Tygerberg 7505.

Aim And Method: An exploratory and descriptive study to obtain basic data on the extent, nature, sources and severity of injuries sustained on fruit farms was conducted. The possibility of utilizing lay health workers (LHWs) on farms to document routine information on injuries was also investigated. Descriptive information of all injuries occurring on selected farms, both occupational and other, needing some form of treatment, were documented over a one-year period from June 1999 to May 2000.

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Non-work-related finger amputations in the United States, 2001-2002.

Ann Emerg Med

June 2005

Office of Statistics and Programming, National Center for Injury Prevention and Control, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA.

Study Objective: We characterize non-work-related finger amputations treated in US hospital emergency departments (EDs) and discuss implications for injury-prevention programs.

Methods: Finger amputation data from 2001 and 2002 were obtained from the National Electronic Injury Surveillance System All Injury Program (a nationally representative sample of 66 US hospital EDs). National estimates are based on weighted data for 948 cases for finger amputations (including partial and complete) that occurred during non-work-related activities (ie, nonoccupational) activities.

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