title: A neurovascular island flap for volar-oblique fingertip amputations. Analysis of long-term results.
abstract: A neurovascular island flap has been developed to reconstruct volar-oblique fingertip amputations. This study analyzes the data collected on 16 patients who were treated with this flap and had at least 2 years follow-up. The average active/passive range of motion was 54/55 degrees at the DIP joint, 96/98 degrees at the PIP joint, and 83/83 degrees at the MP joint. Twelve out of 16 flaps (75%) had two-point discrimination better than 10 mm. Moderate and severe problems included cold intolerance (six patients), hypersensitivity (three patients), stiffness (three patients), and numbness (two patients). Out of the 16 patients treated with this technique, 14 were satisfied with their surgical outcome. In experienced hands, this technique is a safe and reliable method with which to reconstruct volar-oblique fingertip amputations.
authors.affiliation: Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, KY, USA.
authors.forename: T M
authors.initials: TM
authors.lastname: Tsai
authors.forename: J C
authors.initials: JC
authors.lastname: Yuen
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000503:physiopathology / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000503:physiopathology / Q000601:surgery*; D005384:Finger Joint / Q000503:physiopathology; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D016059:Range of Motion, Articular / Q000502:physiology; D013524:Surgical Flaps / Q000379:methods*; D013933:Thumb / Q000293:injuries*; D013997:Time Factors