Table 3.
DALY averted.
| Case # |
Age | Remaining life expectancy | Sex | Diagnosis | Procedure | Disability Wt. | DALY | Likelihood of permanent disability | Likelihood of treatment success | DALY averted |
|---|---|---|---|---|---|---|---|---|---|---|
| Day 1 | ||||||||||
| 1 | 9 | 77.27 | F | Tendon adhesion | L wrist exploration w/tenolysis FDP | 0.024 | 1.85448 | 0.7 | 0.7 | 0.9086952 |
| 2 | 16 | 70.3 | M | Finger flexor tendon injury | R index finger Hunter rod placement | 0.024 | 1.6872 | 0.7 | 0.7 | 0.826728 |
| 3 | 26 | 60.41 | M | Finger flexor tendon injury and nerve laceration | R FPL repair w/tendon grafts; nerve repair with sural nerve graft | 0.136 | 8.21576 | 0.7 | 0.7 | 4.0257224 |
| 4 | 60 | 27.81 | M | Posttraumatic joint contracture | R long finger PIP joint arthrodesis | 0.024 | 0.66744 | 0.7 | 0.7 | 0.3270456 |
| 5 | 68 | 20.68 | F | Trigger finger | R LF trigger finger release | 0.024 | 0.49632 | 0.7 | 0.7 | 0.2431968 |
| 6 | 3 | 83.23 | F | Finger flexor tendon injury | L ring finger FDS/FDP-Hunter rod implant | 0.024 | 1.99752 | 0.7 | 0.7 | 0.9787848 |
| 7 | 13 | 73.29 | M | Cubitus varus | L lateral closing wedge osteotomy of supracondylar for cubitus varus | 0.013 | 0.95277 | 0.7 | 0.7 | 0.4668573 |
| 8 | 14 | 72.29 | M | Polydactyly | B/l thumb partial duplication repair; anlage excision | 0.013 | 0.93977 | 0.7 | 0.7 | 0.4604873 |
| 9 | 47 | 39.9 | M | Lipoma | Excision of L forearm mass | 0.029 | 1.1571 | 0.7 | 0.7 | 0.566979 |
| 10 | 57 | 30.55 | F | Trigger finger | R IF and LF trigger finger release | 0.024 | 0.7332 | 0.7 | 0.7 | 0.359268 |
| 11 | 11 | 75.28 | M | Burn scar contracture | L forearm excision of burn scar; STSG | 0.018 | 1.35504 | 0.3 | 0.7 | 0.2845584 |
| 12 | 12 | 74.28 | M | Burn scar contracture | R hand thumb webs space deepening with split thickness skin graft | 0.024 | 1.78272 | 0.3 | 0.7 | 0.3743712 |
| 13 | 21 | 65.36 | F | Partial traumatic amputation | L RF amputation completion | 0.03 | 1.9608 | 0.7 | 0.7 | 0.960792 |
| 14 | 30 | 56.46 | F | Nerve laceration | Nerve graft L ulnar nerve; anticlaw tendon transfer | 0.136 | 7.67856 | 0.7 | 0.7 | 3.7624944 |
| 15 | 34 | 52.52 | M | Skin contracture | L middle PIP contracture release and skin graft | 0.024 | 1.26048 | 0.7 | 0.7 | 0.6176352 |
| 16 | 47 | 39.9 | M | Radius and ulna fracture | ORIF L radius/ulna | 0.065 | 2.5935 | 0.3 | 0.7 | 0.544635 |
|
| ||||||||||
| Day 2 | ||||||||||
| 17 | 8 | 78.26 | M | Metacarpal fracture | R LF pinning of metacarpal fracture | 0.024 | 1.87824 | 0.7 | 0.7 | 0.9203376 |
| 18 | 11 | 75.28 | M | Cubitus varus | R supracondylar osteotomy | 0.013 | 0.97864 | 0.7 | 0.7 | 0.4795336 |
| 19 | 21 | 65.36 | M | Burn scar contracture | R IF burn contracture release; FTSG | 0.018 | 1.17648 | 0.7 | 0.7 | 0.5764752 |
| 20 | 45 | 41.8 | M | Posttraumatic joint contracture | L index and long finger PIP fusion | 0.024 | 1.0032 | 0.7 | 0.7 | 0.491568 |
| 21 | 48 | 38.95 | M | Carpal tunnel syndrome | L carpal tunnel release | 0.065 | 2.53175 | 0.7 | 0.7 | 1.2405575 |
| 22 | 51 | 36.12 | F | Ganglion cyst | Excision of R wrist mass | 0.029 | 1.04748 | 0.7 | 0.7 | 0.5132652 |
| 23 | 67 | 21.55 | M | Dupuytren's contracture | L hand excision of Dupuytren's contracture | 0.114 | 2.4567 | 0.7 | 0.7 | 1.203783 |
| 24 | 5 | 81.25 | M | Burn scar contracture | R hand burn contracture release | 0.018 | 1.4625 | 0.7 | 0.7 | 0.716625 |
| 25 | 7 | 79.26 | M | Polydactyly | Reconstruction of R thumb polydactyly | 0.013 | 1.03038 | 0.7 | 0.7 | 0.5048862 |
| 26 | 19 | 67.34 | F | Tumor | Excision of L hand mass | 0.029 | 1.95286 | 0.7 | 0.7 | 0.9569014 |
| 27 | 21 | 65.36 | M | Tumor | Excision of bony tumor ×2 of L humerus | 0.029 | 1.89544 | 0.7 | 0.7 | 0.9287656 |
| 28 | 31 | 55.48 | M | Dorsal ganglion cyst | Excision of ganglion cyst | 0.029 | 1.60892 | 0.7 | 0.7 | 0.7883708 |
| 29 | 42 | 44.71 | F | Nonunion radius | Repair nonunion radius | 0.05 | 2.2355 | 0.7 | 0.7 | 1.095395 |
| 30 | 56 | 31.47 | F | De Quervain's syndrome | De Quervain's release | 0.114 | 3.58758 | 0.7 | 0.7 | 1.7579142 |
| 31 | 11 mo | 85.21 | M | Thumb hypoplasia | R thumb amp, and pollicization | 0.013 | 1.10773 | 0.7 | 0.7 | 0.5427877 |
| 32 | 23 | 63.38 | M | Burn scar contracture | PIP arthrodesis; debulk flap | 0.024 | 1.52112 | 0.7 | 0.7 | 0.7453488 |
| 33 | 33 | 53.5 | M | Burn scar contracture | Contracture release of all fingers R hand; flexor tendon division | 0.114 | 6.099 | 0.7 | 0.7 | 2.98851 |
| 34 | 37 | 49.58 | F | Hook nail deformity | V-Y advancement L index fingertip | 0.013 | 0.64454 | 0.7 | 0.7 | 0.3158246 |
| 35 | 48 | 38.95 | M | Dupuytren's contracture | L little finger arthrodesis and k-wire for palmar scar revision w/FTSG | 0.024 | 0.9348 | 0.7 | 0.7 | 0.458052 |
|
| ||||||||||
| Day 3 | ||||||||||
| 36 | 8 | 78.26 | M | Flexor tendon injury | 2nd stage flexor tendon reconstruction; removal hunter rod and tendon graft from leg to finger | 0.024 | 1.87824 | 0.7 | 0.7 | 0.9203376 |
| 37 | 10 | 76.27 | F | Scar contracture | L hand scar revision; tenolysis; removal of k-wire | 0.024 | 1.83048 | 0.7 | 0.7 | 0.8969352 |
| 38 | 20 | 66.35 | M | Flexor tendon injury with nerve laceration | Repair flexor tendons wrist with tendon grafts, ulnar nerve repair with sural nerve graft | 0.136 | 9.0236 | 0.7 | 0.7 | 4.421564 |
| 39 | 55 | 32.38 | M | Carpal tunnel syndrome | R carpal tunnel release | 0.065 | 2.1047 | 0.7 | 0.7 | 1.031303 |
| 40 | 5 | 81.25 | M | Syndactyly | Syndactyly release L 4th web space | 0.024 | 1.95 | 0.7 | 0.7 | 0.9555 |
| 41 | 17 | 69.32 | M | Thumb hypoplasia | R thumb opponensplasty; R 1st web deepening; R thumb UCL reconstruction | 0.114 | 7.90248 | 0.7 | 0.7 | 3.8722152 |
| 42 | 18 | 68.33 | M | Foreign body with ulnar neuropathy | Excision of foreign body L hypothenar eminence; neurolysis ulnar nerve | 0.065 | 4.44145 | 0.7 | 0.7 | 2.1763105 |
| 43 | 23 | 63.38 | M | Foreign body | Bullet removal ×2 R hand | 0.024 | 1.52112 | 0.7 | 0.7 | 0.7453488 |
| 44 | 34 | 52.52 | M | Radial head fracture | L radial head excision | 0.065 | 3.4138 | 0.7 | 0.7 | 1.672762 |
| 45 | 44 | 42.77 | M | Posttraumatic joint contracture | L LF, RF, and SF PIP joint fusion | 0.024 | 1.02648 | 0.7 | 0.7 | 0.5029752 |
| 46 | 49 | 38 | M | Extensor tendon laceration | Tendon transfer for thumb extension PL → EPL | 0.024 | 0.912 | 0.7 | 0.7 | 0.44688 |
| 47 | 20 | 66.35 | M | Flexor tendon injury | Zone II IF, MF, and RF hunter rods | 0.114 | 7.5639 | 0.7 | 0.7 | 3.706311 |
| 48 | 22 | 64.37 | F | Posttraumatic joint contracture | L LF PIP joint arthrodesis | 0.024 | 1.54488 | 0.7 | 0.7 | 0.7569912 |
| 49 | 22 | 64.37 | M | Posttraumatic joint contracture | L thumb IP fusion | 0.024 | 1.54488 | 0.7 | 0.7 | 0.7569912 |
| 50 | 47 | 39.9 | M | Shoulder lipoma | Excision of R shoulder lipoma | 0.029 | 1.1571 | 0.7 | 0.7 | 0.566979 |
| 51 | 61 | 26.91 | F | Ganglion cyst and ulnocarpal abutment | R dorsal ganglion/L matched ulnar arthroplasty | 0.114 | 3.06774 | 0.7 | 0.7 | 1.5031926 |
|
| ||||||||||
| Day 4 | ||||||||||
| 52 | 5 | 81.25 | M | Burn scar contracture | R hand burn scar contracture release; FTSG | 0.018 | 1.4625 | 0.7 | 0.7 | 0.716625 |
| 53 | 32 | 54.49 | M | Flexor tendon injury | R FDS → FDP transfer 2–5 | 0.114 | 6.21186 | 0.7 | 0.7 | 3.0438114 |
| 54 | 60 | 27.81 | F | Ganglion cyst | L dorsal wrist excision of ganglion cyst | 0.029 | 0.80649 | 0.7 | 0.7 | 0.3951801 |
| 55 | 61 | 26.91 | M | Finger flexor tendon injury | L wrist ECRL to FDP; transfer of w/palmaris graft | 0.114 | 3.06774 | 0.7 | 0.7 | 1.5031926 |
| 56 | 65 | 23.29 | F | L ulna nonunion | ORIF with iliac crest bone graft | 0.05 | 1.1645 | 0.7 | 0.7 | 0.570605 |
| 57 | 10 | 76.27 | M | Syndactyly | Release syndactyly 2nd and 4th web spaces with flaps and grafts | 0.024 | 1.83048 | 0.7 | 0.7 | 0.8969352 |
| 58 | 24 | 62.39 | M | Malunion | R thumb MCP joint arthrodesis | 0.114 | 7.11246 | 0.7 | 0.7 | 3.4851054 |
| 59 | 35 | 51.53 | F | Nerve laceration | Tendon transfer for L wrist extension and thumb extension; FCU → ECRB, PL → EPL | 0.136 | 7.00808 | 0.7 | 0.7 | 3.4339592 |
| 60 | 38 | 48.6 | M | Nerve laceration | R forearm sural nerve graft | 0.136 | 6.6096 | 0.7 | 0.3 | 1.388016 |
| 61 | 10 mo | 85.21 | M | L MF-RF syndactyly | L MF-RF syndactyly release | 0.024 | 2.04504 | 0.7 | 0.7 | 1.0020696 |
| 62 | 17 | 69.32 | M | Malunion | Thumb osteotomy and alignment-ORIF; removal of foreign body thumb | 0.016 | 1.10912 | 0.7 | 0.7 | 0.5434688 |
| 63 | 18 | 68.33 | M | Flexor tendon injury | L forearm FDS → FDP tendon transfer | 0.114 | 7.78962 | 0.7 | 0.7 | 3.8169138 |
| 64 | 28 | 58.44 | M | Radial nerve laceration | Tendon transfer radial nerve palsy; FCR → EDC; PT → ECRB; ring sublimis → EPL | 0.136 | 7.94784 | 0.7 | 0.7 | 3.8944416 |
| 65 | 42 | 44.71 | F | Carpal tunnel syndrome | L carpal tunnel release | 0.065 | 2.90615 | 0.7 | 0.7 | 1.4240135 |
|
| ||||||||||
| Day 5 | ||||||||||
| 66 | 14 | 72.29 | M | Flexor tendon injury with nerve laceration | R FDS/FDP ring and small finger tenorrhaphy and digital nerve repair | 0.114 | 8.24106 | 0.7 | 0.7 | 4.0381194 |
| 67 | 23 | 63.38 | F | Burn scar contracture | L hand burn scar contracture release | 0.018 | 1.14084 | 0.7 | 0.7 | 0.5590116 |
| 68 | 50 | 37.05 | M | Radial nerve laceration | Tendon transfer of radial nerve palsy; FCR → EDC; PT → ECRB; ring sublimis → EPL | 0.136 | 5.0388 | 0.7 | 0.7 | 2.469012 |
| 69 | 9 | 77.27 | F | Burn scar contracture | Web space deepening and scar revision | 0.018 | 1.39086 | 0.7 | 0.7 | 0.6815214 |
| 70 | 16 | 70.3 | F | Malunion | R RF MCP arthrodesis | 0.024 | 1.6872 | 0.7 | 0.7 | 0.826728 |
| 71 | 31 | 55.48 | F | Ganglion cyst | Excision of R wrist dorsal ganglion | 0.029 | 1.60892 | 0.7 | 0.7 | 0.7883708 |
| 72 | 47 | 39.9 | F | Ulnocarpal abutment | L ulnar shortening | 0.114 | 4.5486 | 0.7 | 0.7 | 2.228814 |
| 73 | 55 | 32.38 | F | Carpal tunnel syndrome | R carpal tunnel release | 0.065 | 2.1047 | 0.7 | 0.7 | 1.031303 |
| 74 | 14 | 72.29 | F | Burn scar contracture | L LF PIP burn contracture release and fusion; FTSG; Z plasty L elbow burn scar | 0.114 | 8.24106 | 0.7 | 0.7 | 4.0381194 |
| 75 | 39 | 47.62 | F | Ganglion cyst | Excision of R volar wrist ganglion cyst | 0.029 | 1.38098 | 0.7 | 0.7 | 0.6766802 |
| 76 | 42 | 44.71 | M | Posttraumatic joint contracture | L thumb MCP arthrodesis | 0.024 | 1.07304 | 0.7 | 0.7 | 0.5257896 |
| 77 | 46 | 40.85 | M | Posttraumatic joint contracture | L long finger PIP joint arthrodesis | 0.024 | 0.9804 | 0.7 | 0.7 | 0.480396 |
| 78 | 57 | 30.55 | F | Carpal tunnel syndrome | L carpal tunnel release | 0.065 | 1.98575 | 0.7 | 0.7 | 0.9730175 |
| 79 | 23 | 63.38 | M | Finger mass | Excision of L ring finger mass | 0.029 | 1.83802 | 0.7 | 0.7 | 0.9006298 |
| 80 | 62 | 26 | M | Skin lesion | Excision of L hand skin lesion | 0.029 | 0.754 | 0.7 | 0.7 | 0.36946 |
|
| ||||||||||
| Mean: | 30.759 | 55.938 | Total: | 220.009 | Total: | 104.349028 | ||||
R = right; L = left; IF= index finger; LF = long finger; RF = ring finger; SF = small finger; PIP = proximal interphalangeal; MCP = metacarpal phalangeal; FPL = flexor pollicis longs; FDS = flexor digitorum superficialis; FDP = flexor digitorum profundus; FCR = flexor carpi radials; FCU = flexor carpi ulnaris; PL = palmaris longus; EPL = extensor pollicis longus; ECRL = extensor carpi radialis longus; ECRB = extensor; carpi radialis brevis; EDC = extensor digitorum communis; FCU = flexor carpi ulnaris; UCL = ulnar collateral ligament; STSG = split thickness skin graft; FTSG = full thickness skin graft; ORIF = open reduction internal fixation.