{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T12:42:09Z","timestamp":1762864929108},"reference-count":8,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[1991,7,1]],"date-time":"1991-07-01T00:00:00Z","timestamp":678326400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[1991,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p><jats:bold>Many factors are involved in the decision whether to complete the amputation of an injured digit and trim the stump or to replant the amputated member. This paper compares the cost of these two treatments so that this financial aspect might be included among the many factors which influence the surgeon's decision. The cost of these treatments was separated into two aspects. First, the overall cost of the medical and surgical expenses was calculated. Second, the cost which the Israeli social security granted the injured worker due to the disability was calculated. By comparing the total surgical and medical costs of amputations and replantations, trimming is far less expensive than replantation. In the long run, the compensation the insurer owes the disabled trimmed patient is far higher than the compensation given to those who were successfully replanted, provided the injured worker has a certain number of working years to retirement and has a yearly income of a certain level. Thus, in most cases, replantation is recommended from the cost benefit aspect<\/jats:bold>.<\/jats:p>","DOI":"10.1007\/bf01675645","type":"journal-article","created":{"date-parts":[[2005,5,11]],"date-time":"2005-05-11T11:08:26Z","timestamp":1115809706000},"page":"486-492","source":"Crossref","is-referenced-by-count":23,"title":["To trim or replant: A matter of cost"],"prefix":"10.1002","volume":"15","author":[{"given":"Joel","family":"Engel","sequence":"first","affiliation":[{"name":"Department of Hand Surgery Sheba Medical Center Sackler School of Medicine, and The Leon Recanti Business School Tel Aviv University Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shmuel","family":"Luboshitz","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Sheba Medical Center Sackler School of Medicine, and The Leon Recanti Business School Tel Aviv University Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Batya","family":"Jaffe","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Sheba Medical Center Sackler School of Medicine, and The Leon Recanti Business School Tel Aviv University Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zeev","family":"Rotstein","sequence":"additional","affiliation":[{"name":"Department of Hand Surgery Sheba Medical Center Sackler School of Medicine, and The Leon Recanti Business School Tel Aviv University Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[1991,7]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"crossref","first-page":"214","DOI":"10.1016\/0363-5023(89)90009-9","article-title":"Digital replantation at the level of the distal interphalangeal joint and the distal phalanx","volume":"14","author":"Goldman R.D.","year":"1989","journal-title":"J. Hand Surg."},{"key":"e_1_2_1_3_1","unstructured":"Prior M.:Internal publication Israeli National Social Security Institute 1989."},{"key":"e_1_2_1_4_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0363-5023(82)80010-5","article-title":"Less than ten surgeons with amputated fingers","volume":"7","author":"Brown P.W.","year":"1982","journal-title":"J. Hand Surg."},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(82)80085-3"},{"key":"e_1_2_1_6_1","first-page":"254","article-title":"Mikrochirugische replantation an der hand unter beruksichtigung der sozio\u2010okonomischen aspekte","volume":"5","author":"Ingianni G.","year":"1981","journal-title":"Plast. Chir."},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0363-5023(87)80266-6"},{"key":"e_1_2_1_8_1","first-page":"335","article-title":"Interet economique du service assistance. Main du chu de Nancy","volume":"28","author":"Dap F.","year":"1989","journal-title":"Anal. Med. deNancy et de L'est"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0753-9053(89)80051-1"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/BF01675645.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/BF01675645\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/BF01675645","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,11]],"date-time":"2024-01-11T15:18:31Z","timestamp":1704986311000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/BF01675645"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,7]]},"references-count":8,"journal-issue":{"issue":"4","published-print":{"date-parts":[[1991,7]]}},"alternative-id":["10.1007\/BF01675645"],"URL":"https:\/\/doi.org\/10.1007\/bf01675645","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,7]]}}}