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Original Article
Online Published: 27 May 2020
 


Factors associated with secondary ray amputation after initial finger amputation at the traumatic level

Zavira Celeste Marie Heinze, Suzanne C Wilkens, Kiera Nysha Lunn, David Ring, Neal C Chen.


Abstract
Objectives: To assess if surgeon specialty, demographics or injury-related variables are related to a second operation to convert a finger amputation at the level of injury to a ray amputation.
Methods: We identified 869 patients that had a finger (non-thumb) amputation at the level of injury over a period between 2000 and 2015. Bivariable analyses were used to identify factors associated with a second operation for ray amputation.
Results: Eighteen patients had secondary ray amputation (2.1%), 8 for stiffness and contracture, 5 for pain, and 5 for necrosis of the stump. Factors associated with secondary ray amputation include central finger, amputation at a more proximal part of the finger, and other injured fingers that were not amputated.
Conclusion: A second operation for ray resection is uncommon after major trauma, more likely proximal and central, and usually for pain or dysfunction, in patients treated by both plastic surgery and orthopedic surgery trained hand surgeons.

Key words: finger, trauma, ray amputation, orthopaedic surgery, plastic surgery


 
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How to Cite this Article
Pubmed Style

Heinze ZCM, Wilkens SC, Lunn KN, Ring D, Chen NC. Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand Microsurg. 2020; 9(2): 76-80. doi:10.5455/handmicrosurg.74774

Web Style

Heinze ZCM, Wilkens SC, Lunn KN, Ring D, Chen NC. Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. https://handmicrosurgeryjournal.com/?mno=74774 [Access: June 27, 2026]. doi:10.5455/handmicrosurg.74774

AMA (American Medical Association) Style

Heinze ZCM, Wilkens SC, Lunn KN, Ring D, Chen NC. Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand Microsurg. 2020; 9(2): 76-80. doi:10.5455/handmicrosurg.74774


Vancouver/ICMJE Style

Heinze ZCM, Wilkens SC, Lunn KN, Ring D, Chen NC. Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand Microsurg. (2020), [cited June 27, 2026]; 9(2): 76-80. doi:10.5455/handmicrosurg.74774


Harvard Style

Heinze, Z. C. M., Wilkens, . S. C., Lunn, . K. N., Ring, . D. & Chen, . N. C. (2020) Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand Microsurg, 9 (2), 76-80. doi:10.5455/handmicrosurg.74774


Turabian Style

Heinze, Zavira Celeste Marie, Suzanne C Wilkens, Kiera Nysha Lunn, David Ring, and Neal C Chen. 2020. Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand and Microsurgery, 9 (2), 76-80. doi:10.5455/handmicrosurg.74774


Chicago Style

Heinze, Zavira Celeste Marie, Suzanne C Wilkens, Kiera Nysha Lunn, David Ring, and Neal C Chen. "Factors associated with secondary ray amputation after initial finger amputation at the traumatic level." Hand and Microsurgery 9 (2020), 76-80. doi:10.5455/handmicrosurg.74774


MLA (The Modern Language Association) Style

Heinze, Zavira Celeste Marie, Suzanne C Wilkens, Kiera Nysha Lunn, David Ring, and Neal C Chen. "Factors associated with secondary ray amputation after initial finger amputation at the traumatic level." Hand and Microsurgery 9.2 (2020), 76-80. Print. doi:10.5455/handmicrosurg.74774


APA (American Psychological Association) Style

Heinze, Z. C. M., Wilkens, . S. C., Lunn, . K. N., Ring, . D. & Chen, . N. C. (2020) Factors associated with secondary ray amputation after initial finger amputation at the traumatic level. Hand and Microsurgery, 9 (2), 76-80. doi:10.5455/handmicrosurg.74774




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    Hand and Microsurgery, the official journal of Turkish Society for Surgery of Hand and Upper Extremity, is a peer-reviewed scientific journal published th ... Read more.



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