Reconstruction of the transverse and dorsal-oblique amputations of the distal thumb with volar cross-finger flap using the index finger

被引:11
作者
Erken, H. Y. [1 ]
Akmaz, I. [1 ]
Takka, S. [2 ]
Kiral, A. [1 ]
机构
[1] Anadolu Med Ctr, Dept Orthopaed Surg, TR-41400 Gebze, Kocaeli, Turkey
[2] Acad Hosp, Dept Orthopaed Surg, Istanbul, Turkey
关键词
Dorsal-oblique; thumb amputations; transverse; volar cross-finger flap; ARTERIALIZED FLAP; COLD INTOLERANCE; NERVE-ENDINGS; SKIN-GRAFTS; ISLAND FLAP; DEFECTS; HAND; SENSATION; RECOVERY; SURGERY;
D O I
10.1177/1753193414554752
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
We performed a retrospective review of 12 patients with dorsal oblique and transverse amputations of the distal thumb who were treated with a volar cross-finger flap from the index finger. The mean patient follow-up period was 28 months postoperatively (range: 19-43 months). There were no instances of flap loss, infection, or donor site complication in our series. The mean Semmes-Weinstein monofilament testing scores on the injured thumb and the donor site were 0.65 g (range: 0.16-2 g) and 0.51 g (range: 0.16-1 g), respectively. The mean 2-point discrimination testing scores on the injured thumb and the donor site were 4.5 mm (range: 3-8 mm) and 4.3 mm (range: 3-7 mm), respectively. This study suggests that the volar cross-finger flap using the index finger is a reliable technique in repairing dorsal oblique and transverse amputations of the distal thumb. Type of study/level of evidence: Therapeutic IV
引用
收藏
页码:392 / 400
页数:9
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