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KMID : 0378019770200010117
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New Medical Journal
1977 Volume.20 No. 1 p.117 ~ p.127
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A Clinical Observation of Amputated Fingers by Industrial Accidents
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Abstract
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Of all industrial injuries, about 20% are inflicted on the fingers and with the increase in factory employment this proportion is likely to become greater. All structures are damaged when a hand is caught in punch presses, gears or under falling objects. Irreversible loss of blood supply to the part is only real indication for primary amputation.
Early restoration of function must be the goal in every hand injury and meticulous microvascular technique is the most important factor in preventing failure of maximum recovery.
The principles of amputation of fingers are to obtain a painless and useful stump. But the evaluation of the functional result is difficult because of variations in the age of patient, site of amputation and mechanism and extent of injury.
The authors analyses the 394 cases of amputee (402 cases of hands, 1023 cases of fingers)
who were treated at Industrial Rehabilitation Center during three years and seven months of
period from May 1973 to Nov. 1976, following results were obtained:
1) Most cases were male (84.8%), and age group of prominance was second decades.
2) The injuries were supposed to be prevalent among unskilled young man. (74.5% of 394
cases were suffered from the injury within one year after getting a job) 3) Of 1023cases, 60.9% were amputated fingers primarily at accident. 4) Machine handlers are apt to get injury.
5) One hundred and eleven out of 402 cases (27.6%) had only one finger amputation of a hand and others had more than two.
6) The greatest number of sites of amputation was long finger (28.6%) and the index finger was next incidence (24.1%).
7) The highest incidence of level of amputation was at the proximal interphalangeal joints.
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