{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T13:59:37Z","timestamp":1784728777211,"version":"3.55.0"},"reference-count":0,"publisher":"African Journals Online (AJOL)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Mal. Med. J"],"abstract":"<jats:p>Background\u00a0Hand infections in diabetics can be a major cause of functional impairment .In patients with Tropical Diabetic hand syndrome prompt surgical intervention may salvage the hand, but return to premorbid function remain a challenge.Objectives A retrospective study of consecutive diabetic patients with hand infections was done in 2 tertiary institutions in Lagos,Nigeria to identify the epidemiology, modes of presentation, types of surgical intervention and outcomes oftreatment.Results Twenty one patients were studied over a 5 year period. ten males, eleven females .All were type 2 Diabetes. 52.4%(11) were diagnosed less than a year prior to presentation. 61.9%(13) had digit\/hand gangrene on presentation. All operated patients (20) had wound debridements. 52.5% (11) digit\/hand amputations and this was the commonest surgical procedures done. Other surgeries done include skin grafts and `flap reconstructions. There was a 19% mortality rate. Less than a fifth were able return to their premorbid occupation after 3 months. But all had reduced range of motion in the interphalangeal joints in the adjacent digits.ConclusionsThere is a high morbidity rate for hand infections in the diabetic, even though majority of the hands were salvaged, most patients were unable to return to their premorbid occupation at 3 months.<\/jats:p>","DOI":"10.4314\/mmj.v31i3.6","type":"journal-article","created":{"date-parts":[[2019,11,8]],"date-time":"2019-11-08T15:06:30Z","timestamp":1573225590000},"page":"198-201","source":"Crossref","is-referenced-by-count":7,"title":["Surgical outcomes of diabetic hand infections in Lagos, Nigeria"],"prefix":"10.4314","volume":"31","author":[{"given":"Bolaji O","family":"Mofikoya","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2895","published-online":{"date-parts":[[2019,9,3]]},"container-title":["Malawi Medical Journal"],"original-title":[],"link":[{"URL":"https:\/\/www.ajol.info\/index.php\/mmj\/article\/download\/191291\/180463","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.ajol.info\/index.php\/mmj\/article\/download\/191291\/180463","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,9]],"date-time":"2020-07-09T12:27:33Z","timestamp":1594297653000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ajol.info\/index.php\/mmj\/article\/view\/191291"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,3]]},"references-count":0,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2019,11,19]]}},"URL":"https:\/\/doi.org\/10.4314\/mmj.v31i3.6","relation":{},"ISSN":["1995-7262","1995-7262"],"issn-type":[{"value":"1995-7262","type":"electronic"},{"value":"1995-7262","type":"print"}],"subject":[],"published":{"date-parts":[[2019,9,3]]}}}