char = S;code = 83
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = l;code = 108
char = e;code = 101
char = ;code = 32
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char = a;code = 97
char = y;code = 121
char = ;code = 32
char = a;code = 97
char = m;code = 109
char = p;code = 112
char = u;code = 117
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char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
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char = f;code = 102
char = o;code = 111
char = r;code = 114
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char = t;code = 116
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char = r;code = 114
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char = ;code = 32
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char = e;code = 101
char = ;code = 32
char = h;code = 104
char = a;code = 97
char = n;code = 110
char = d;code = 100
char = .;code = 46
result sql = Single ray amputation for tumors of the hand.
Single ray amputation for tumors of the hand.
char = S;code = 83
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char = n;code = 110
char = g;code = 103
char = l;code = 108
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char = a;code = 97
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char = a;code = 97
char = t;code = 116
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char = o;code = 111
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char = a;code = 97
char = f;code = 102
char = t;code = 116
char = e;code = 101
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char = a;code = 97
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char = e;code = 101
char = c;code = 99
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char = o;code = 111
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char = c;code = 99
char = a;code = 97
char = n;code = 110
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char = t;code = 116
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char = e;code = 101
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char = s;code = 115
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char = T;code = 84
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char = e;code = 101
char = ;code = 32
char = r;code = 114
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char = l;code = 108
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char = o;code = 111
char = f;code = 102
char = ;code = 32
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char = i;code = 105
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char = r;code = 114
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char = i;code = 105
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char = ;code = 32
char = t;code = 116
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char = e;code = 101
char = ;code = 32
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char = a;code = 97
char = n;code = 110
char = a;code = 97
char = g;code = 103
char = e;code = 101
char = m;code = 109
char = e;code = 101
char = n;code = 110
char = t;code = 116
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char = o;code = 111
char = f;code = 102
char = ;code = 32
char = a;code = 97
char = g;code = 103
char = g;code = 103
char = r;code = 114
char = e;code = 101
char = s;code = 115
char = s;code = 115
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char = v;code = 118
char = e;code = 101
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char = i;code = 105
char = g;code = 103
char = n;code = 110
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char = o;code = 111
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char = l;code = 108
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char = a;code = 97
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char = t;code = 116
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char = m;code = 109
char = o;code = 111
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char = s;code = 115
char = ;code = 32
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char = a;code = 97
char = s;code = 115
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char = b;code = 98
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char = e;code = 101
char = n;code = 110
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char = e;code = 101
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char = c;code = 99
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char = l;code = 108
char = y;code = 121
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char = e;code = 101
char = p;code = 112
char = o;code = 111
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char = t;code = 116
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char = l;code = 108
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char = s;code = 115
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char = e;code = 101
char = s;code = 115
char = .;code = 46
char = ;code = 32
char = W;code = 87
char = e;code = 101
char = ;code = 32
char = r;code = 114
char = e;code = 101
char = t;code = 116
char = r;code = 114
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char = p;code = 112
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char = i;code = 105
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char = l;code = 108
char = y;code = 121
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char = r;code = 114
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char = i;code = 105
char = e;code = 101
char = w;code = 119
char = e;code = 101
char = d;code = 100
char = ;code = 32
char = t;code = 116
char = h;code = 104
char = e;code = 101
char = ;code = 32
char = r;code = 114
char = e;code = 101
char = c;code = 99
char = o;code = 111
char = r;code = 114
char = d;code = 100
char = s;code = 115
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char = o;code = 111
char = f;code = 102
char = ;code = 32
char = a;code = 97
char = l;code = 108
char = l;code = 108
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char = 2;code = 50
char = 5;code = 53
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char = p;code = 112
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char = t;code = 116
char = i;code = 105
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = s;code = 115
char = ;code = 32
char = w;code = 119
char = h;code = 104
char = o;code = 111
char = ;code = 32
char = u;code = 117
char = n;code = 110
char = d;code = 100
char = e;code = 101
char = r;code = 114
char = w;code = 119
char = e;code = 101
char = n;code = 110
char = t;code = 116
char = ;code = 32
char = s;code = 115
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = l;code = 108
char = e;code = 101
char = ;code = 32
char = r;code = 114
char = a;code = 97
char = y;code = 121
char = ;code = 32
char = a;code = 97
char = m;code = 109
char = p;code = 112
char = u;code = 117
char = t;code = 116
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = s;code = 115
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char = a;code = 97
char = t;code = 116
char = ;code = 32
char = o;code = 111
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char = r;code = 114
char = ;code = 32
char = c;code = 99
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char = t;code = 116
char = e;code = 101
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char = u;code = 117
char = r;code = 114
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char = n;code = 110
char = g;code = 103
char = ;code = 32
char = a;code = 97
char = ;code = 32
char = 1;code = 49
char = 0;code = 48
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char = a;code = 97
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char = ;code = 32
char = p;code = 112
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char = r;code = 114
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char = o;code = 111
char = d;code = 100
char = ;;code = 59
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char = t;code = 116
char = h;code = 104
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = w;code = 119
char = e;code = 101
char = r;code = 114
char = e;code = 101
char = ;code = 32
char = s;code = 115
char = e;code = 101
char = v;code = 118
char = e;code = 101
char = n;code = 110
char = ;code = 32
char = i;code = 105
char = n;code = 110
char = d;code = 100
char = e;code = 101
char = x;code = 120
char = ,;code = 44
char = ;code = 32
char = f;code = 102
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char = e;code = 101
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char = m;code = 109
char = i;code = 105
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char = d;code = 100
char = l;code = 108
char = e;code = 101
char = ,;code = 44
char = ;code = 32
char = s;code = 115
char = i;code = 105
char = x;code = 120
char = ;code = 32
char = r;code = 114
char = i;code = 105
char = n;code = 110
char = g;code = 103
char = ,;code = 44
char = ;code = 32
char = a;code = 97
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char = d;code = 100
char = ;code = 32
char = s;code = 115
char = e;code = 101
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char = e;code = 101
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char = ;code = 32
char = s;code = 115
char = m;code = 109
char = a;code = 97
char = l;code = 108
char = l;code = 108
char = ;code = 32
char = r;code = 114
char = a;code = 97
char = y;code = 121
char = ;code = 32
char = a;code = 97
char = m;code = 109
char = p;code = 112
char = u;code = 117
char = t;code = 116
char = a;code = 97
char = t;code = 116
char = i;code = 105
char = o;code = 111
char = n;code = 110
char = s;code = 115
char = ;code = 32
char = p;code = 112
char = e;code = 101
char = r;code = 114
char = f;code = 102
char = o;code = 111
char = r;code = 114
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char = d;code = 100
char = .;code = 46
char = ;code = 32
char = T;code = 84
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char = e;code = 101
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char = i;code = 105
char = n;code = 110
char = i;code = 105
char = m;code = 109
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char = m;code = 109
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char = f;code = 102
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char = l;code = 108
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char = u;code = 117
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char = s;code = 115
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char = 3;code = 51
char = 6;code = 54
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char = t;code = 116
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char = s;code = 115
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char = a;code = 97
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char = f;code = 102
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char = l;code = 108
char = o;code = 111
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char = u;code = 117
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char = s;code = 115
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char = e;code = 101
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char = e;code = 101
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char = i;code = 105
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char = s;code = 115
char = .;code = 46
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char = O;code = 79
char = n;code = 110
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char = u;code = 117
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char = d;code = 100
char = e;code = 101
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char = e;code = 101
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char = c;code = 99
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char = l;code = 108
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char = e;code = 101
char = t;code = 116
char = e;code = 101
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char = e;code = 101
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char = c;code = 99
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char = ;code = 32
char = e;code = 101
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char = d;code = 100
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char = n;code = 110
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result sql = 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. LEVEL OF EVIDENCE: Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence.

Publication: Clin. Orthop. Relat. Res. 2010 May ;468(5)::1390-5. :doi: 10.1007/s11999-009-1019-z.
Publication Date: 2010 May
Study Author(s): Puhaindran, Mark Edward;Healey, John H;Athanasian, Edward A;
Institution: Orthopaedic Service, Department of Surgery, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, New York, NY 10021, USA. [email protected]
Shortcut link to this study:
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. LEVEL OF EVIDENCE: Level IV, case series. See Guidelines for Authors for a complete description of levels of evidence.
PMID: 19655212

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