A comparative study of finger pulp reconstruction using arterialised venous sensate flap and insensate flap from forearm

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
Hede YanCunyi Fan

Abstract

The aim of this study was to investigate the feasibility of finger pulp reconstruction using arterialised venous flaps from forearm and compare the outcomes of arterialised venous sensate flap and insensate flap. Twenty-seven arterialised venous flaps were reviewed retrospectively in the reconstruction of finger pulp defects in 23 patients, including 15 sensate flaps (sensate group) and 12 insensate flaps (insensate group). Nine flaps in this series were harvested from the dorsal aspect of the forearm and the other 18 were harvested from the volar aspect. Standardised assessment of outcomes in terms of objective sensory recovery, pinch power of the reconstructed digits, cold intolerance and time of returning to work was completed. All flaps survived completely. Twenty-six flaps were available for follow-up of more than 9 months (mean, 15.4 months). Almost all the flaps in the sensate group obtained normal sensation, while most cases of the insensate group only achieved protective sensation. Cold intolerance was present in most cases of the insensate group in comparison with the sensate group with only one case suffering from slight cold intolerance. There was no significant difference of pinch power between the two groups. All ...Continue Reading

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Citations

Aug 30, 2013·Plastic and Reconstructive Surgery·Hede YanWeiyang Gao
Oct 31, 2013·Clinical Oral Investigations·A NiklasG Schmalz
Jun 26, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Murat KayalarIbrahim Kaplan
May 2, 2014·Microsurgery·Murat KayalarIbrahim Kaplan
Jun 14, 2017·The Journal of Hand Surgery, European Volume·R WhartonA Fox
Jul 29, 2015·Archives of Plastic Surgery·Jose Couceiro, Marcos Sanmartin
Jul 29, 2016·Plastic and Reconstructive Surgery·Diogo CasalJoão Goyri O'Neill
Feb 15, 2020·Journal of Cosmetic Dermatology·Muhammad Ahmad, Mohammad Humayun Mohmand
May 28, 2020·The Journal of International Medical Research·Jiadong PanLiping Wang
Jan 29, 2019·Journal of Plastic Surgery and Hand Surgery·Bin ZhaoHede Yan
Aug 8, 2021·Biomedicine & Pharmacotherapy = Biomédecine & Pharmacothérapie·Junling LiuHede Yan

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