Evaluation of anxiety, depression, and sleep quality in patients following traumatic finger amputation surgery

Objective: The hand, as one of the most utilized body parts, is particularly vulnerable to trauma. Finger amputations can lead to significant emotional, social, and physical distress.Methods: This cross-sectional questionnaire study included patients aged 18–75 who underwent surgery following traumatic finger amputation performed by a single surgeon between 2021 and 2022 in a hospital hand surgery clinic. Patients were grouped as follows: Group 1 underwent successful replantation; Group 2 included patients whose fingers were shortened and closed, reconstructed with local flaps, or required secondary surgery due to failed replantation. Evaluations included the Visual Analogue Scale (VAS), Quick Disabilities of the Arm, Shoulder and Hand (QDASH), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Pittsburgh Sleep Quality Index (PSQI).Results: The study included 95 patients, 26 in Group 1 and 69 in Group 2. No significant differences were found between the groups in terms of age or sex (P = 0.570 and P = 0.941, respectively). Group 1 exhibited significantly better pain and functional outcomes based on VAS and QDASH scores (both P < 0.001). Additionally, lower anxiety and depression scores (BAI, BDI) and improved sleep quality (PSQI) were observed in Group 1 (all P < 0.001).Conclusion: Patients with finger loss due to failed replantation or closure with local flaps should not be regarded as experiencing minor trauma. These patients require comprehensive rehabilitation, pain management, and psychological and social support.