Reconstruction of finger pulp defects using homodigital dorsal middle phalangeal neurovascular advancement flap.
Eighteen finger pulp defects were reconstructed using a homodigital dorsal middle phalangeal neurovascular island flap procedure based on a single neurovascular pedicle preserving the length of the finger. All flaps survived and achieved adequate functional and cosmetic results. The mean follow-up time was 22 months. The mean value of static two-point discrimination test of the healed flaps was 7 mm and the mean value of moving two-point discrimination test was 5 mm. Range of motion was considered satisfactory in all reconstructed fingers except one, in which a 20 degree extension deficit at the proximal interphalangeal joint was observed. This flap represents a useful alternative for reconstruction of the fingers with large pulp defects.
Ozaksar
K
K
Hand and Microsurgery, Orthopaedics and Traumatology (EMOT) Hospital, Kahramanlar-Izmir, Turkey. kate.owers@gmail.com
Toros
T
T
Sügün
T S
TS
Bal
E
E
Ademoğlu
Y
Y
Kaplan
I
I
D000293:Adolescent; D000328:Adult; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures / Q000379:methods*; D017695:Soft Tissue Injuries / Q000601:surgery*; D013524:Surgical Flaps / Q000098:blood supply / Q000294:innervation; D016896:Treatment Outcome