title: [Functional results of homodigital pedicle island flaps for finger-pulp defects. Evaluation of 15 cases].
abstract: OBJECTIVE
  Fingertip amputations are very common. The aim of the treatment is to restore the sensibility of the finger pulp, with adequate pulp padding. The homodigital pedicle island flaps are used in zone 2 or 3 of Allen's classification. This study evaluates the functional results of this type of flap.
  
  
  METHODS
  Fifteen patients were reviewed. The clinical evaluation noted complications, satisfaction level, use of the finger, cold intolerance and increased sensibility signs. The Weber test and the Semmes monofilaments were used for sensory evaluation. The joint mobility was measured and the Quick-DASH score calculated.
  
  
  RESULTS
  The mean time between surgery and the revision was 21 months. The average flap advancement was 12 mm. Six of the patients were very satisfied. The finger use was normal in seven cases, and excluded in only one. The average Quick-DASH was 18.18. Sixty percent of the nails were deformed, 20% were hooked. Eight patients experienced cold intolerance, and five had increased local sensibility. The average Weber score was 7 mm and the monofilaments were at 3.61. The flexion of the joint was limited in six cases.
  
  
  CONCLUSIONS
  For specific indications in finger-pulp amputation, the homodigital pedicle island flaps give satisfying aesthetic and functional results, allowing considerable advancement. Nevertheless, they are often a source of cold intolerance, finger joint stiffness and require long healing periods.
authors.affiliation: Service de chirurgie orthopédique, traumatologique et réparatrice, université Paris-Sud, CHU Antoine-Béclère, AP-HP, 157, rue de la Porte-de-Trivaux, 92140 Clamart, France. mag.b8@wanadoo.fr
authors.forename: M
authors.initials: M
authors.lastname: Brun
authors.forename: M
authors.initials: M
authors.lastname: Freslon
authors.forename: A-L
authors.initials: AL
authors.lastname: Champdavoine
authors.forename: L-É
authors.initials: LÉ
authors.lastname: Gayet
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic / Q000601:surgery*; D002648:Child; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009264:Nails, Malformed / Q000209:etiology; D017060:Patient Satisfaction; D016059:Range of Motion, Articular; D019651:Plastic Surgery Procedures; D020127:Recovery of Function; D012189:Retrospective Studies; D012677:Sensation; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing