Andrea Cosentino , Gianni Odorizzi , Wilhelm Berger
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引用次数: 0
摘要
手指截肢通常由外伤造成,需要有效的治疗来恢复功能、预防感染并加快愈合。外科手术通常是标准的治疗方法,如再植和皮瓣重建,但对于某些损伤,尤其是远端截肢,手术费用昂贵且没有必要。半闭塞性绷带(SOB)为治疗指尖远端截肢提供了一种经济、有效的替代方法。这篇综述介绍了使用 Tamai 和 Allen 系统对手指截肢进行的分类,讨论了它们对 SOB 的适用性,并强调了其优点,如愈合更快、减少疼痛和降低感染风险。最近的研究证实,在各种临床情况下,SOB 具有疗效好、经济实惠和患者满意度高等优点。虽然有证据支持在适当的情况下将 SOB 作为一线治疗方法,但还需要进一步的研究来评估其在不同医疗环境下的成本效益。
Efficacy and cost-effectiveness of semi-occlusive bandages in finger amputation treatment
Finger amputations, commonly resulting from trauma, require effective management to restore function, prevent infection, and expedite healing. Surgical interventions, such as replantation and flap reconstruction, are often the standard treatment but can be costly and unnecessary for certain injuries, especially distal amputations. Semi-occlusive bandages (SOBs) offer a cost-efficient, effective alternative for managing distal fingertip amputations. This review introduces the classifications of finger amputations using Tamai and Allen systems, discusses their applicability to SOBs, and highlights benefits such as faster healing, reduced pain, and lower infection risks. Recent studies have validated SOBs’ efficacy, affordability, and high patient satisfaction in various clinical contexts. While evidence supports SOBs as a first-line treatment in appropriate cases, further research is needed to evaluate their cost-effectiveness across diverse healthcare settings.