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KMID : 0621520130180040155
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Journal of the Korean Society for Surgery of the Hand
2013 Volume.18 No. 4 p.155 ~ p.160
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Reconstruction of Digits Injured by Punch Press Machine
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Hwang So-Min
Lee Jong-Seo
Kim Hyung-Do
Jung Yong-Hui
Kim Hong-Il
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Abstract
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Purpose: Digits injured by punch press machines show peculiar types with segmental loss of middle part of digits. Although the distal parts of finger survived, thr results is frequently unfavorable with respect to function and appearance after inappropriate reconstruction.
Methods: From August 2008 to February 2013, five digits injured by punch press machines in four patients were managed. Pinch strength, two-point discrimination and active range of motion were measured to evaluate finger function.
Results: Three digits with a preserved amputated segment underwent replantation. Partial necrosis occurred in one digit in which local flap was performed. Secondary tendon graft was performed in the other digits. Two digits without segment was reconstructed by arthrodesis after shortening the length. The patients were generally satisfied with function and appearance.
Conclusion: Reconstruction of digits injured by punch machines are technically difficult. Replantation is the best method in cases of preserved segmen
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KEYWORD
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Fingers, Amputation, Segmental amputation, Punch press
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