الفهرس 
Review of LiteratureOnly 14 pages are availabe for public view
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Abstract
T
humb and finger injuries are the most common upper extremity injury in competitive team sports. (9% of sports injuries in athletes overall and 15% of the injuries in football.) Despite the hand being the most active portion of the upper extremity, it is the least protected and is at high risk for injury.
This meta-analysis aim to determine functional, aesthetic outcomes and postoperative complications between different surgical techniques in the treatment of thumb tip injuries.
Aesthetic outcome, Sensory outcome, Range of motion, Occurrence of complications such as: cold intolerance, flexion contracture, infection and wound dehiscence were our outcomes in this systematic review.
A comprehensive search of the literature via electronic databases including Pub Med/ Medline, Cochrane, Web of Science and Google Scholar. An initial search was carried out using keywords: thumb tip injury, thumb tip amputation, Surgical flaps and Reconstruction. Studies of different modalities was analysed and compared regarding the aesthetic outcome, sensory outcome, range of motion and rate of complications. Hand surgeons were contacted to help identifying other published and unpublished relevant studies.
CONCLUSION
L
ocal and regional options are comparable in terms of sensory, motor, and aesthetic scores, patient satisfaction. However local options are associated with significantly higher complication rates.
RECOMMENDATIONS
F
uture research should focus on performing a large-scale, head-to-head comparison of different reconstruction strategies through randomized clinical trials. This could potentially reduce the problems of reduced reliability through the inclusion of higher sample sizes and mitigates the potential risk of bias through reducing selection, performance, publication, and detection biases. We also recommend performing future meta-analysis based on the results of these high-quality studies to improve both the reliability and validity of the conclusions regarding the differences between local and regional reconstruction of the thumb injuries.