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Complications of the reverse homodigital island flap in fingertip reconstruction.
Yildirim, Serkan; Avci, Gülden; Akan, Mithat; Aköz, Tayfun.
Afiliación
  • Yildirim S; Department of Plastic and Reconstructive Surgery, Kartal Dr. Lütfü Kirdar Education and Research Hospital, Armagan apt. 81060, Gûztepe, Istanbul, Turkey.
Ann Plast Surg ; 48(6): 586-92, 2002 Jun.
Article en En | MEDLINE | ID: mdl-12055426
Twenty-four digital artery island flaps with reversed flow were used to reconstruct 23 patients with fingertip injuries in the authors' clinic between June 1998 and August 2000. No nerve coaptation was performed in these patients. Patient age ranged between 18 and 35 years. All patients were evaluated at clinical follow-up for active range of motion, appearance, patient satisfaction, two-point discrimination, hypersensitivity and cold intolerance, previous hand injury, and flap viability in the repaired finger. Based on their experience, the authors consider that this procedure has several disadvantages: relatively high flap loss, sacrifice of one of the two major arteries of the finger, it is a time-consuming method, it is a difficult flap dissection, there is a requirement for loupe and microsurgical equipment. The authors think that this flap should not be the first choice for fingertip reconstruction especially for patients who have possibility of reinjuring their hands because of their jobs.
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Colgajos Quirúrgicos / Procedimientos de Cirugía Plástica / Traumatismos de los Dedos Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Ann Plast Surg Año: 2002 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
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Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Complicaciones Posoperatorias / Colgajos Quirúrgicos / Procedimientos de Cirugía Plástica / Traumatismos de los Dedos Tipo de estudio: Observational_studies Límite: Adolescent / Adult / Female / Humans / Male Idioma: En Revista: Ann Plast Surg Año: 2002 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos