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dc.contributor.authorSmith, HR
dc.contributor.authorConyard, C
dc.contributor.authorLoveridge, J
dc.contributor.authorGunnarsson, R
dc.date.accessioned2020-08-03T03:17:07Z
dc.date.available2020-08-03T03:17:07Z
dc.date.issued2019
dc.identifier.issn2424-8355en_US
dc.identifier.doi10.1142/S2424835519500024en_US
dc.identifier.urihttp://hdl.handle.net/10072/396063
dc.description.abstractBackground: Tooth knuckle injuries can be expensive to treat and may necessitate amputation in some cases. Several limitations exist in the literature regarding our knowledge around the factors predicting amputation and the need for multiple debridements in treating this injury. Methods: A historic cohort study of 321 patients treated for tooth knuckle injuries was undertaken. Twenty-one demographic, clinical and laboratory variables were collected. Two outcome measurements were collected - the need for amputation and the need for more than one surgical debridement. A multivariate logistic regression was performed to determine the relationship between the predictor variables and the outcome measurements. Results: Of the 321 patients examined, 1.6% required amputations and 25% required multiple debridements. Osteomyelitis was found to be a major predictor for amputation in these patients (OR = 35). Delayed presentation (OR = 1.1) and diabetes (OR = 2.6) were found to significantly increase the risk of requiring multiple debridements. Conclusions: Our models were able to predict what patients were at the greatest risk for amputation and multiple debridement. Reducing rates of osteomyelitis and delays in presentation may help reduce the incidence of amputation and reoperation in this injury.en_US
dc.description.peerreviewedYesen_US
dc.languageengen_US
dc.publisherWorld Scientific Publishing Companyen_US
dc.relation.ispartofpagefrom6en_US
dc.relation.ispartofpageto12en_US
dc.relation.ispartofissue1en_US
dc.relation.ispartofjournalJournal of Hand Surgery (Asian-Pacific Volume)en_US
dc.relation.ispartofvolume24en_US
dc.subject.keywordsAmputationen_US
dc.subject.keywordsClenched fist injuryen_US
dc.subject.keywordsHealth care costsen_US
dc.subject.keywordsTooth knuckle injuryen_US
dc.titlePredicting Amputation and Multiple Debridements in Tooth Knuckle Injuriesen_US
dc.typeJournal articleen_US
dc.type.descriptionC1 - Articlesen_US
dcterms.bibliographicCitationSmith, HR; Conyard, C; Loveridge, J; Gunnarsson, R, Predicting Amputation and Multiple Debridements in Tooth Knuckle Injuries., Journal of Hand Surgery (Asian-Pacific Volume), 2019, 24 (1), pp. 6-12en_US
dc.date.updated2020-08-03T03:15:19Z
gro.hasfulltextNo Full Text
gro.griffith.authorConyard, Christopher G.


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