The Experts below are selected from a list of 15 Experts worldwide ranked by ideXlab platform

Cynthia L. Nielsen - One of the best experts on this subject based on the ideXlab platform.

  • Traumatic Amputation of Finger From an Alligator Snapping Turtle Bite
    Wilderness & Environmental Medicine, 2016
    Co-Authors: Richard D. Johnson, Cynthia L. Nielsen
    Abstract:

    Legend states that the alligator snapping turtle ( Macrochelys temminckii ) should be handled with extreme caution as it has jaw strength powerful enough to bite a wooden broomstick in half. Tales of bite injuries from what is the largest freshwater turtle in North America exist anecdotally, yet there are few descriptions of medical encounters for such. The risk of infection from reptilian bites to the hand in an aquatic environment warrants thorough antibiotic treatment in conjunction with hand surgery consultation. We present the first case report of a near total Amputation of an index Finger in an adolescent boy who had been bitten by a wild "gator snapper."

Richard D. Johnson - One of the best experts on this subject based on the ideXlab platform.

  • Traumatic Amputation of Finger From an Alligator Snapping Turtle Bite
    Wilderness & Environmental Medicine, 2016
    Co-Authors: Richard D. Johnson, Cynthia L. Nielsen
    Abstract:

    Legend states that the alligator snapping turtle ( Macrochelys temminckii ) should be handled with extreme caution as it has jaw strength powerful enough to bite a wooden broomstick in half. Tales of bite injuries from what is the largest freshwater turtle in North America exist anecdotally, yet there are few descriptions of medical encounters for such. The risk of infection from reptilian bites to the hand in an aquatic environment warrants thorough antibiotic treatment in conjunction with hand surgery consultation. We present the first case report of a near total Amputation of an index Finger in an adolescent boy who had been bitten by a wild "gator snapper."

Eli Peled - One of the best experts on this subject based on the ideXlab platform.

  • Amputation of Finger by horse bite with complete avulsion of both flexor tendons
    Orthopedics, 2011
    Co-Authors: Lior Koren, Shalom Stahl, Alexey Rovitsky, Eli Peled
    Abstract:

    Amputation of Fingers with tendon avulsion occurs through a traction injury, and most occur through a ring avulsion mechanism. Usually the flexor digitorum profundus is torn out with the amputated Finger. Replantation usually is recommended only when the Amputation is distal to the flexor digitorum superficialis insertion. Animal bites are relatively common, with a decreasing order of frequency of dogs, cats, and humans. Horse bites are relatively infrequent but are associated with crush injuries and tissue loss when they occur.This article describes a 23-year-old man with Amputation of his middle Finger at the level of the proximal phalanx after being bitten by a horse. The amputated stump was avulsed with the middle Finger flexor digitorum profundus and flexor digitorum superficialis torn from the muscle-tendon junction from approximately the middle of the forearm. The patient had no other injuries, and he was able to move his other 4 Fingers with only mild pain. As the amputated digit was not suitable for replantation, the wound was irrigated and debrided. The edges of the phalanx were trimmed, and the edges of the wound were sutured. Tetanus toxoid and rabies vaccine were administered, along with intravenous amoxicillin and clavulanic acid. The patient was discharged from the hospital 2 days later, with no sign of infection of the wound or compartment syndrome of the forearm. This case demonstrates the weakest point in the myotendinous junction and emphasizes the importance of a careful physical examination in patients with a traumatic Amputation. Language: en

Lior Koren - One of the best experts on this subject based on the ideXlab platform.

  • Amputation of Finger by horse bite with complete avulsion of both flexor tendons
    Orthopedics, 2011
    Co-Authors: Lior Koren, Shalom Stahl, Alexey Rovitsky, Eli Peled
    Abstract:

    Amputation of Fingers with tendon avulsion occurs through a traction injury, and most occur through a ring avulsion mechanism. Usually the flexor digitorum profundus is torn out with the amputated Finger. Replantation usually is recommended only when the Amputation is distal to the flexor digitorum superficialis insertion. Animal bites are relatively common, with a decreasing order of frequency of dogs, cats, and humans. Horse bites are relatively infrequent but are associated with crush injuries and tissue loss when they occur.This article describes a 23-year-old man with Amputation of his middle Finger at the level of the proximal phalanx after being bitten by a horse. The amputated stump was avulsed with the middle Finger flexor digitorum profundus and flexor digitorum superficialis torn from the muscle-tendon junction from approximately the middle of the forearm. The patient had no other injuries, and he was able to move his other 4 Fingers with only mild pain. As the amputated digit was not suitable for replantation, the wound was irrigated and debrided. The edges of the phalanx were trimmed, and the edges of the wound were sutured. Tetanus toxoid and rabies vaccine were administered, along with intravenous amoxicillin and clavulanic acid. The patient was discharged from the hospital 2 days later, with no sign of infection of the wound or compartment syndrome of the forearm. This case demonstrates the weakest point in the myotendinous junction and emphasizes the importance of a careful physical examination in patients with a traumatic Amputation. Language: en

Wu Wei - One of the best experts on this subject based on the ideXlab platform.

  • clinical study on replantation in multiple level Amputation of Finger
    Chinese Journal of Practical Hand Surgery, 2004
    Co-Authors: Wu Wei
    Abstract:

    Objective To analyse the clinical outcome of replantation in multiple level Amputation of Fingers.Methods For Fingertip replantation,we anastomosed one artery and one vein,or one artery and pulling out the nail or cutting small incision.For middle and proximal digits replantation, we could anastomose two digital arteries and at least two veins. For severe vascular damage, the superficial vein or arteries from other Fingers were used.Results Among 165 segments of 81 Fingers from 45 cease,150 segments survived, with 91% survival rate.Conclusion Treatment of multiple level Amputation of Finger need higher techniques.To improve the survival rate,it is important to anastomose vessel excellently, and deal with damage of vessel correctly. In addition, training exercise plays an important role in functional recovery.