Single ray amputation for tumors of the hand Journal Article
| Authors: | Puhaindran, M. E.; Healey, J. H.; Athanasian, E. A. |
| Article Title: | Single ray amputation for tumors of the hand |
| Abstract: | Single ray amputation after hand trauma or infection can result in good aesthetic and functional outcomes. The role of this procedure in the management of aggressive benign or malignant hand tumors has been described only in case reports and small case series. We retrospectively reviewed the records of all 25 patients who underwent single ray amputations at our center during a 10- year period; there were seven index, five middle, six ring, and seven small ray amputations performed. The minimum followup was 2 months (mean, 36 months; range, 2- 120 months), with four patients having a followup of 1 year or less. No patients had local recurrences, although two patients had positive resection margins. One underwent repeat resection followed by radiotherapy. The other was treated with radiotherapy alone, as local tumor control would have required a hand amputation. Functional assessment based on the Musculoskeletal Tumor Society staging system showed an average of 27.5 (range, 21-30). Patients who underwent perioperative radiotherapy experienced a decrease in functional ability. Grip strength was an average of 66% (range, 38%-100%) of the contralateral side. Our study suggests single ray amputation for hand tumors has a low local recurrence rate and high functional scores. However, function can be compromised by radiotherapy and a decrease in grip strength by a mean of 34% is to be expected. evel of Evidence: Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence.© The Association of Bone and Joint Surgeons1 2009. |
| Keywords: | adolescent; adult; child; clinical article; treatment outcome; aged; aged, 80 and over; bone neoplasms; middle aged; cancer surgery; functional assessment; surgical technique; retrospective studies; young adult; histopathology; cancer recurrence; cancer radiotherapy; cancer staging; follow up; follow-up studies; neoplasm recurrence, local; lung non small cell cancer; surgical approach; retrospective study; kidney carcinoma; time factors; reoperation; amputation; soft tissue sarcoma; chondrosarcoma; soft tissue neoplasms; hand; hand amputation; grip strength; hand tumor; granular cell tumor; single ray hand amputation |
| Journal Title: | Clinical Orthopaedics and Related Research |
| Volume: | 468 |
| Issue: | 5 |
| ISSN: | 0009-921X |
| Publisher: | Springer |
| Date Published: | 2010-05-01 |
| Start Page: | 1390 |
| End Page: | 1395 |
| Language: | English |
| DOI: | 10.1007/s11999-009-1019-z |
| PUBMED: | 19655212 |
| PROVIDER: | scopus |
| PMCID: | PMC2853661 |
| DOI/URL: | |
| Notes: | --- - "Cited By (since 1996): 1" - "Export Date: 20 April 2011" - "CODEN: CORTB" - "Source: Scopus" |
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