Combined ipsilateral and contralateral second toe flaps for repair of finger degloving injury.
Microsurgery
; 34(7): 540-6, 2014 Oct.
Article
em En
| MEDLINE
| ID: mdl-24691781
ABSTRACT
PURPOSE:
The purpose of this report was to retrospectively review the results of treatment of degloving injury of the finger by use of combined ipsilateral second dorsal nail-skin flap and contralateral medial second toe flap.METHODS:
From 2010 to 2012, seven fingers in seven patients with complete degloving injuries from the level of middle or distal phalanx were reconstructed with combined ipsilateral second dorsal nail-skin flap and contralateral medial second toe flap. The injured fingers included the index finger in four cases, and middle finger in three cases. The nerves of both the flaps were sutured to the bilateral common digital nerves. The donor site of second toe flap was covered with a full-thickness skin graft.RESULTS:
All transferred flaps survived after surgery, and all postoperative courses were uneventful. During the follow-up period (mean of 15 months; ranging 6-20 months), the appearance of the reconstructed fingers was comparable with normal ones. The range of motion of the distal interphalangeal joint averaged 55 ± 5.8 degrees. The two point discrimination of the pulp ranged from 8 to > 15 mm (average, 11.3 mm). All the patients were able to walk without difficulty. The MHQ score averaged 59 ± 4.2 points and Maryland foot rating score averaged 92 ± 4.2 points.CONCLUSION:
The ipsilateral second toe dorsal nail-skin flap combined with contralateral medial second toe flap may provide an alternative for the reconstruction of completely degloved fingers at the middle and the distal phalangeal level, with satisfactory functional and cosmetic results.
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Retalhos Cirúrgicos
/
Dedos do Pé
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Procedimentos de Cirurgia Plástica
/
Traumatismos dos Dedos
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
Idioma:
En
Ano de publicação:
2014
Tipo de documento:
Article