Distally Based Venous Flap for Proximal Phalangeal Soft Tissue Burn Defect and Web Space Burn Contracture

Çil, Yakup; Yapici, Abdul Kerim; Koçman, Atacan Emre; Öztürk, Serdar

doi:10.1097/bcr.0b013e3181abffe7

Cited by 5 publications

(3 citation statements)

References 24 publications

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“…Twenty-three patients including those with thermal injuries and unstable scarring were treated with flaps up to 4 × 6cm in size. Dorsal venous flaps based over the third/fourth metacarpal have been used to reconstruct defects of the proximal phalangeal region 196 …”

Section: Resultsmentioning

confidence: 99%

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Acute Management of Thermal Hand Burns in Adults

et al. 2021

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Introduction Advances in the evidence base of acute thermal hand burns help to guide the management of these common injuries. The aim of this literature review was to evaluate recent evidence in the field over 10 years. Methods The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Protocols methodology was used as a guide for this literature review. PubMed, MEDLINE, EMBASE, CINAHL, and Google Scholar were searched for English language articles related to hand burns published between 2009 and 2018 inclusive, and the Cochrane Library was reviewed. Exclusion criteria were as follows: participants younger than 18 years, scar or contracture management, rehabilitation, outcomes assessment, late reconstruction, and electrical or chemical burns. Results An initial search retrieved 6493 articles, which was narrowed to 403 full-text articles that were reviewed independently by 3 of the authors and categorized. Of 202 included articles, there were 8 randomized controlled trials and 2 systematic reviews. Six evidence-based guidelines were reviewed. Referral of hand burns to specialist centers, use of telemedicine, early excision and grafting, and immediate static splintage have been recommended. Enzymatic debridement results in earlier intervention, more accurate burn assessment, preservation of vital tissue, and fewer skin grafts, and ideally requires regional anesthesia. Guidance on escharotomy emphasizes indication, technique and adequate intervention, and potential for enzymatic debridement. Inclusion of topical negative pressure, dermal regenerative templates, acellular dermal matrices, and noncellular skin substitutes in management has helped improve scar and functional outcomes. Discussion The results of this literature review demonstrate that multiple national and international societies have published burns guidelines during the decade studied, with aspects directly relevant to hand burns, including the International Society for Burn Injuries guidelines. There are opportunities for evidence-based quality improvement across the field of hand burns in many centers. Conclusions More than 200 articles globally in 10 years outline advances in the understanding of acute management of thermal hand burns. Incorporating the evidence base into practice may facilitate optimization of triage referral pathways and acute management for hand burns.

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Section: Resultsmentioning

confidence: 99%

“…Dorsal venous flaps based over the third/fourth metacarpal have been used to reconstruct defects of the proximal phalangeal region. 196…”

Section: Escharotomymentioning

confidence: 99%

Acute Management of Thermal Hand Burns in Adults

et al. 2021

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“…Les lambeaux à pédicule vasculaire axial sont basés sur une bonne connaissance de la vascularisation cutanée, des vaisseaux perforants artériels et veineux [13], ils sont utilisés en pratique quotidienne par les chirurgiens spécialistes. Citons parmi une longue liste : le lambeau latéro-unguéal pour recouvrir la base de la matrice, le lambeau hétérodigital pour resurfacer une face palmaire de doigt, les lambeaux d'avancement digital pédiculé sur les artères collatérales et les lambeaux veineux dorsaux des doigts.…”

Section: Lambeaux Locaux à Pédicule Temporaire Et Microvascualriséunclassified

Traitement chirurgical des séquelles rétractiles et esthétiques de la main brûlée

Téot

Brancati

Otman

et al. 2011

Lett Med Phys Readapt

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La chirurgie de séquelles cicatricielles de brûlures rétractiles et inesthétiques a profondément bénéficié des stratégies d'excision et de greffe précoces développées au siècle dernier. Après cette phase de sauvetage fonctionnel sont apparues une série de techniques nouvelles applicables en deuxième intention dans le recouvrement cutané. La récupé-ration de la fonction main est globalement bonne avec les techniques dont les praticiens disposent actuellement, même si pour les brûlures graves et les carbonisations, les amputations sont encore nécessaires. Les séquelles cosméti-ques sont mieux prises en charge, mais la demande de retour à aucune cicatrice visible reste difficile à satisfaire. Pour citer cette revue : Lett. Méd. Phys. Réadapt. 27 (2011). Mots clés Brûlure de la main · Cicatrices hypertrophiques · Brides et commissures · Séquelles esthétiques · Fonction de la mainAbstract Surgery of the contractile and defacing scarring greatly benefitted from strategies of excision and early grafting developed during the last century. After this phase of functional salvage, a series of new techniques has appeared. These can be used as second-line measures in the process of skin cover. The recovery of hand function is generally good with the techniques, which are now available to surgeons, even though amputations are still necessary for severe burns and carbonisation. To cite this journal: Lett. Méd. Phys. Réadapt. 27 (2011).

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Clinical applications of venous flaps in the reconstruction of hands and fingers

Yan

Zhang

Akdemır

et al. 2010

Arch Orthop Trauma Surg

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In recent years, the venous flap has been highly regarded in microsurgical and reconstructive surgeries, especially in the reconstruction of hand and digit injuries. It is easily designed and harvested with good quality. It is thin and pliable, without the need of sacrificing a major artery at the donor site, and has no limitation on the donor site. It can be transferred not only as a pure skin flap, but also as a composite flap including tendons and nerves as well as vein grafts. All these advantages make it an optimal candidate for hand and digit reconstruction when conventional flaps are limited or unavailable. In this article, we review its classifications and the selection of donor sites, update its clinical applications, and summarize its indications for all types of venous flaps in hand and digit reconstruction.

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Distally Based Venous Flap for Proximal Phalangeal Soft Tissue Burn Defect and Web Space Burn Contracture

Cited by 5 publications

References 24 publications

Acute Management of Thermal Hand Burns in Adults

Acute Management of Thermal Hand Burns in Adults

Traitement chirurgical des séquelles rétractiles et esthétiques de la main brûlée

Clinical applications of venous flaps in the reconstruction of hands and fingers

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