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A systematic review of the finger bank technique: what are its limits?

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

When other techniques are unavailable or cannot be performed, the finger bank (FB) procedure becomes viable to reconstruct mutilating hand injuries. The aim of the present study was to synthesize all the current literature and evaluate the studies outcomes using the FB, determining its effectiveness.

Methods

A comprehensive and systematic literature search was conducted according to the PRISMA guidelines in multiple databases (MEDLINE via PubMed, Virtual Health Library, Embase, Scopus, Scielo, Cochrane, and Lilacs).

Results

Fifteen articles were included. Although most patients presented functional recovery, the FB technique should be used with caution in skin, bone, and tendon as a tissue bank, considering the limited number of studies in the current literature focusing on these tissues. On the other hand, in cases of joint, nerve, and vessel recovery, the use of FB may be safely recommended. Furthermore, we observed that most procedures were emergency and work-related, in addition to the vast majority of patients being men (90.34%). We found that the FB can be extended to rare non-emergency situations (tumor resection and congenital malformation) and used regardless of clinical features such as age of participants or mechanism of injury.

Conclusions

Overall, this systematic review highlighted the great prognosis that the FB can offer to traumatic multidigit patients and emphasized the lack of research in this area.

Level of evidence: Not gradable

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Data availability

The data collected for the study, including deidentified participant data and informed consent form, will be available for one year after publication of the article upon justified request to the e-mail address of the main researcher and with a signed data access agreement.

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Funding

The authors received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. School of Medicine, Pontifical Catholic University of Rio Grande Do Sul, Porto Alegre, Av. Ipiranga 6681, Porto Alegre, RS, 90619-900, Brazil

    Jefferson Braga Silva, Alice Scalzilli Becker, Bruna Leiria Meréje Leal, Catarina Vellinho Busnello, Arthur Henrique Weiler Furlanetto & Rafael Braccio Zawislak

  2. Service of Hand Surgery and Reconstructive Microsurgery, São Lucas Hospital, Av. Ipiranga 6690, Centro Clinico PUCRS, Suite 216, Porto Alegre, RS, 90610-000, Brazil

    Jefferson Braga Silva

  3. School of Medicine, Lutheran University of Brazil, Av. Farroupilha, 8001, Canoas, 92425-020, Brazil

    Mariana Rodrigues de Sousa Rebelato

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  1. Jefferson Braga Silva
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  2. Alice Scalzilli Becker
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  3. Bruna Leiria Meréje Leal
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  4. Catarina Vellinho Busnello
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  7. Rafael Braccio Zawislak
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Corresponding author

Correspondence to Jefferson Braga Silva.

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Informed consent

Patients provided written consent for the use of their data and photographs.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research comittee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. In accordance with Brazilian laws, the Ethics Comittee at Pontificial Catholic University of Rio Grande do Sul (PUCRS) has confirmed that no ethical approval is required for this kind of studies.

Conflict of interest

Jefferson Braga Silva, Alice Scalzilli Becker, Bruna Leiria Meréje Leal, Catarina Vellinho Busnello, Arthur Henrique Weiler Furlanetto, Mariana Rodrigues de Sousa Rebelato and Rafael Braccio Zawislak declares no competing interests.

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Silva, J.B., Becker, A.S., Leal, B.L.M. et al. A systematic review of the finger bank technique: what are its limits?. Eur J Plast Surg 46, 795–801 (2023). https://doi.org/10.1007/s00238-023-02056-2

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  • DOI: https://doi.org/10.1007/s00238-023-02056-2

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