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Preliminary study on functional and aesthetic reconstruction by using a small artery-only free medial flap of the second toe for fingertip injuries
Li, Muwei; Huang, Ming; Yang, Yanjun; Gu, Liqiang; Zhang, Ziqing; Yang, Yi.
Afiliación
  • Li, Muwei; the Long gang Orthopedics Hospital of Shen zhen. Department of Microsurgery and Hand Surgery. Shen zhen. CN
  • Huang, Ming; Sun Yat-sen University. Zhong shan School of Medicine. Guang zhou. CN
  • Yang, Yanjun; the Long gang Orthopedics Hospital of Shen zhen. Department of Microsurgery and Hand Surgery. Shen zhen. CN
  • Gu, Liqiang; the First Affiliated Hospital of Sun Yat-sen University. Department of Microsurgery and Orthopedic Trauma. Guang zhou. CN
  • Zhang, Ziqing; the Long gang Orthopedics Hospital of Shen zhen. Department of Microsurgery and Hand Surgery. Shen zhen. CN
  • Yang, Yi; the First Affiliated Hospital of Sun Yat-sen University. Department of Microsurgery and Orthopedic Trauma. Guang zhou. CN
Clinics ; 74: e1226, 2019. tab, graf
Article en En | LILACS | ID: biblio-1039545
Biblioteca responsable: BR1.1
ABSTRACT

OBJECTIVES:

This study was designed to introduce the feasibility of fingertip reconstruction by using a free medial flap of the second toe without vein anastomosis.

METHODS:

In total, 8 patients with fingertip injuries were treated successfully with this method. Patients who underwent reconstruction from September 2016 to October 2017 in our hospital with an artery-only free medial flap transfer of the second toe for fingertip injuries were included, and patients who underwent additional procedures that may impact the postoperative results and were followed up for less than 6 months were excluded. Clinical trial registration ChiCTR19000021883.

RESULTS:

According to the Allen classification, five patients had Type 3 injuries, and three patients had Type 4 injuries. One arterial nerve and one digital nerve were repaired at the same time. No additional dissection was performed in either the donor or recipient site of the dorsal or volar vein. Postoperative venous congestion was monitored based on the color, temperature and the degree of tissue oxygen saturation. The flap size ranged from 1.20*1.0 cm2 to 1.80*1.0 cm2. The reconstruction time was 71.86 (SD 14.75) minutes. The two-point discrimination and the monofilament results were satisfying; cold intolerance did not appear in five patients, and the other three patients had cold intolerance with grades of 4, 12 and 26, which were considered satisfactory. Moreover, leech therapy, continuous bleeding and needle sutures were not utilized in any cases.

CONCLUSIONS:

Reconstruction with a small artery-only free medial flap transfer of the second toe led to satisfactory sensory and motor function in the selected patients with fingertip injuries.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Arterias / Dedos del Pie / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres / Traumatismos de los Dedos / Dedos Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Brasil
Texto completo
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Imprimir
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Asunto principal: Arterias / Dedos del Pie / Procedimientos de Cirugía Plástica / Colgajos Tisulares Libres / Traumatismos de los Dedos / Dedos Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adult / Female / Humans / Male Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2019 Tipo del documento: Article País de afiliación: China Pais de publicación: Brasil