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- W2749893740 abstract "We tested the null hypothesis that no factors are independently associated with the development of symptomatic neuroma after traumatic digital amputation.We performed a retrospective review of 1,083 patients who underwent revision amputation for traumatic digital amputation; we excluded those undergoing replantation or revascularization. Patients who developed a painful neuroma during follow-up were identified with a minimum follow-up of 1 week and a median of 3.3 months. We calculated the rate of developing a painful neuroma as a proportion of the total number of patients and performed multivariable logistic regression analysis to identify factors independently associated with its development.Of 1,083 patients, 71 (6.6%) developed a symptomatic neuroma. Mean time to diagnosis was 6.4 months. A total of 47 patients (66%) underwent surgery for painful neuroma. Mean time to surgical intervention was 11 months. Index finger injury and avulsion injury mechanism were significantly associated with a higher risk for symptomatic neuroma.Approximately 1 in 15 patients will develop a symptomatic neuroma after traumatic digital amputation and more than half of these patients will undergo revision surgery for neuroma, with a mean time to operative intervention of 11 months.Prognostic II." @default.
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- W2749893740 date "2018-01-01" @default.
- W2749893740 modified "2023-10-14" @default.
- W2749893740 title "Symptomatic Neuroma Following Initial Amputation for Traumatic Digital Amputation" @default.
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- W2749893740 doi "https://doi.org/10.1016/j.jhsa.2017.08.021" @default.
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