A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

Regmi, Subhash; Gu, Jiaxiang; Zhang, Naichen; Liu, Hongjun

doi:10.1007/s00266-016-0624-y

Cited by 34 publications

(20 citation statements)

References 43 publications

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“…The mean flap area was 294.4 mm 2 , similar to the studies found in the literature ( Table 3 ). 3 , 13 , 14 , 15 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

“…Most patients maintained the range of motion (98.9%). Regmi et al 17 performed a systematic review and found an mean range of motion of 63° only of the distal interphalangeal joint.…”

Section: Discussionmentioning

confidence: 99%

“…According to statistical data in the literature, the mean distance in the two-point discrimination test is 6 mm for innervated flaps and 9 mm for non-innervated flaps. 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

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Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap

Santos

Oliveira

Angelini

2018

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveTo assess the homodigital flap surgical procedure, as well as the function of the finger, pain, sensation, esthetics, and patient satisfaction.MethodRetrospective analysis of records and questionnaires of patients who underwent this surgical technique between the months of May 2013 and October 2016. Eight were included in the study, with an average follow-up period of 23 months. Patients with digital pulp lesions of the thumbs and those who did not perform rehabilitation were excluded. All underwent the two-point discrimination test, the Semmes–Weinstein test, and range of motion evaluation. The age varied from 22 to 59 years (average of 32.9), six (75%) being male patients.ResultsThree patients (37.5%) had involvement of the right hand and five of the left (62.5%). Regarding the etiology, seven suffered injury and one a chemical burn. The average distance obtained from the two-point discrimination test was 7.3 mm. All patients who underwent the Semmes–Weinstein test obtained response to the purple filament. The average sum of the range of motion of the affected digit was 98.9%. The flap area was on average 294.4 mm2. The return to work averaged seven weeks. A positive Tinel sign was found in the donating area and two reported intolerance to cold. Partial or total necrosis of the flap was not observed.ConclusionThe homodigital flap technique presented satisfactory esthetics and functional results regarding feasibility, sensation, and digital mobility in pulp lesions.

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“…The mean flap area was 294.4 mm 2 , similar to the studies found in the literature ( Table 3 ). 3 , 13 , 14 , 15 , 16 , 17 …”

Section: Discussionmentioning

confidence: 99%

“…Most patients maintained the range of motion (98.9%). Regmi et al 17 performed a systematic review and found an mean range of motion of 63° only of the distal interphalangeal joint.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap

Santos

Oliveira

Angelini

2018

Revista Brasileira de Ortopedia (English Edition)

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“…In a meta-analysis, done by Regmi et al .,[ 3 ] that included 8 studies and 230 fingertip injuries flap survival rate was 98% (including partial survival). In our study, all our flaps survived [ Figure 6 ].…”

Section: Discussionmentioning

confidence: 99%

Why borrow from Peter when Paul can afford it? Reverse homodigital artery flap for fingertip reconstruction

Sundaramurthy

Mahipathy

2017

Indian J Plast Surg

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Background:Fingertip injuries that are complicated by pulp loss, bone or tendon exposure will need a flap cover. Cross finger flap is commonly used to cover such defects. However, patients are apprehensive about injuring the uninjured finger as a donor site. Reverse homodigital artery flap (RHAF) can provide reliable vascularised cover to such defects.Aims:This study aims to assess the functional and aesthetic outcomes along with the patient satisfaction of RHAFs done for fingertip defects.Materials and Methods:RHAFs done in 18 patients operated between August 2015 and October 2016 were retrospectively analysed on flap survival, sensory recovery, range of movements, hypersensitivity, cold intolerance, flexion contracture and donor site morbidity.Results:Seventeen of the 18 flaps done survived completely. One flap had partial necrosis of 3 mm that healed conservatively. Middle finger of the right hand was the most commonly injured finger. Touch, pain and pressure sensations recovered in 8–12 weeks. Two-point discrimination was 4.5 mm at 6 months. The deficit of 5° s was present at distal interphalangeal joint during active flexion at 6 months. Cold intolerance and flexion contracture were not seen and 2 instances of hypersensitivity at 2 months got cured conservatively after 4 months. Overall satisfaction of patients was 8/10.Conclusion:RHAF provides single staged well-vascularised cover for fingertip injuries with good sensory recovery without damaging the adjacent uninjured finger. Hence, it can be a reliable flap for fingertip reconstruction in selected cases.

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“…These are reliable and provide coverage with glabrous skin, which is a better match than dorsal skin. 5 The donor site is more concealed with better cosmesis, and the extensor tendon is not tethered.…”

Section: Sirmentioning

confidence: 99%

Repair of Fingertip Defect Using an Anterograde Pedicle Flap Based on the Dorsal Perforator

Tillo

Jester

Oestreich

et al. 2017

Plastic and Reconstructive Surgery - Global Open

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A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

Abstract: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266.

Cited by 34 publications

References 43 publications

Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap

Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap

Why borrow from Peter when Paul can afford it? Reverse homodigital artery flap for fingertip reconstruction

Repair of Fingertip Defect Using an Anterograde Pedicle Flap Based on the Dorsal Perforator

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