Long-term outcome of a "short" anterograde homodigital neurovascular island flap with a simple or double V-Y plasty.

Orthopaedics & Traumatology, Surgery & Research : OTSR
Daniel EstoppeyThomas Jager

Abstract

Anterograde homodigital neurovascular island flaps are very useful for reconstructing proximal fingertip amputations with exposed bone but have the disadvantage of bringing about proximal interphalangeal joint (PIPJ) stiffness. The addition of a single or double V-Y plasty increases mobility without having to extend the dissection beyond the PIPJ. The purpose of this study was to examine the long-term functional outcome of patients who received a "short" anterograde homodigital neurovascular island flap with a single or double V-Y plasty. Our primary hypothesis was that this flap did not induce PIPJ stiffness and our secondary hypothesis was that it preserved good fingertip sensation. This was a retrospective study of patients operated between August 2017 and February 2019. The inclusion criteria were the following: a fingertip amputation caused by either a crush or laceration injury with exposed bone, treated during the acute phase of the injury or for secondary necrosis (attempted replantation or subtotal amputation) and classified as type II oblique palmar, type III or type IV amputations according to the Allen classification system. The assessment criteria were: joint mobility, sensory evaluation with the two-point discrimi...Continue Reading

References

Mar 1, 1988·British Journal of Plastic Surgery·D M Evans, D L Martin
Sep 5, 1998·Clinical Orthopaedics and Related Research·C Martin, J González del Pino
Jun 7, 2005·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·S E VaritimidisK N Malizos
Mar 18, 2008·The Journal of Hand Surgery·Gale J S LimTeoh Lam-Chuan
Jun 7, 2008·Operative Orthopädie und Traumatologie·Isabella MehlingPol M Rommens
Jul 19, 2011·Acta orthopaedica et traumatologica turcica·Murat KayalarYusuf Gürbüz
Sep 6, 2014·Hand : Official Journal of the American Association for Hand Surgery·Emily M Krauss, Donald H Lalonde
Jul 21, 2016·Techniques in Hand & Upper Extremity Surgery·Luis C DíazLina M Fuentes Losada
Feb 17, 2017·The Journal of Hand Surgery Asian-Pacific Volume·Lin-Wing LokYan-Kit Lau
Feb 6, 2018·Hand Surgery and Rehabilitation·M-L Abi-ChahlaP Pelissier
Feb 8, 2018·Orthopaedics & Traumatology, Surgery & Research : OTSR·G PomaresG Dautel
May 23, 2019·Archives of Orthopaedic and Trauma Surgery·Annika Arsalan-WernerMichael Sauerbier
Jun 12, 2019·Hand Surgery and Rehabilitation·J BoudardI Pluvy
Mar 23, 2020·Orthopaedics & Traumatology, Surgery & Research : OTSR·Thomas JagerGermain Pomares

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