Long-term outcome of neurovascular palmar advancement flaps for distal thumb injuries

Foucher, G.; Delaere, O.; Citron, N.; Molderez, A.

doi:10.1054/bjps.1997.3005

Cited by 41 publications

(34 citation statements)

References 21 publications

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“…In 1999, Foucher et al [16] reviewed 6 O'Brien and 5 Moberg flaps at a mean of 81 months after surgery. They found only one complication (delayed wound healing) in a smoker.…”

Section: Resultsmentioning

confidence: 99%

Reconstruction of the thumb tip using palmar neurovascular flaps

Harenberg

Jakubietz

et al. 2012

Oper Orthop Traumatol

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“…In 1999, Foucher et al [16] reviewed 6 O'Brien and 5 Moberg flaps at a mean of 81 months after surgery. They found only one complication (delayed wound healing) in a smoker.…”

Section: Resultsmentioning

confidence: 99%

Reconstruction of the thumb tip using palmar neurovascular flaps

Harenberg

Jakubietz

et al. 2012

Oper Orthop Traumatol

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“…Especially, it is clinically difficult to repair the wound and reconstruct nerve feeling in one stage using either pedicled or freed grafting of perforator flaps because most of the flaps applied are not innervated. The anatomic basis and the traditional operative technique limit improvement of clinical outcomes of hand and finger reconstruction [9][10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Use of Free Modified Innervated Posterior Interosseous Artery Perforator Flap to Repair Digital Skin and Soft Tissue Defects

Song

et al. 2014

Indian J Surg

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Current techniques to reconstruct soft tissue of the fingers result in scarring and functional deficits. Perforator flaps raised on the posterior interosseous artery are thin and well vascularised, and cause minimal donor site scarring. Using a flap with sensory nerves was hoped to contribute to the desired postoperative sensory recovery of fingers. We used modified innervated posterior interosseous perforator flaps to repair digital defects in 18 patients. Injuries included digit amputations and palmar soft tissue defects. The posterior antebrachial cutaneous nerve was carried in the flap and bridged with the defect section of the proper digital nerve. The flaps used measured 10 cm×6 cm to 5 cm×3 cm. All 18 flaps survived; one necrotic edge eventually healed. During the 10-28 months of follow-up (average, 14 months), twopoint discrimination in flaps and injured fingers was 6-15 mm. Good functional and sensory outcomes were obtained in primary operation, and patients were generally satisfied with the aesthetic results. Further work will be needed to assess the branches of the posterior interosseous artery preoperatively to improve surgical planning.

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“…Especially, it is clinically difficult to repair the wound and reconstruct nerve feeling in one stage using either pedicled or freed grafting of perforator flaps, because most of the flaps applied are not innervated, the anatomic basis and the traditional operative technique limit improvement of clinical outcomes of hand and finger reconstruction [4,5,11,12].…”

Section: Discussionmentioning

confidence: 99%

“…Traditional repair often involves prolonged treatment with several surgical interventions that are frequently performed in staged procedures [1][2][3][4][5]. Ideally, these procedures should be conducted during a combined operation.…”

Section: Introductionmentioning

confidence: 99%

Modified Innervated Radial Collateral Artery Perforator Flap for Repairing Digital Defects

Song

et al. 2014

Indian J Surg

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The authors presented their clinical experience and demonstrated surgical methods to reconstruct softtissue defects in the digit by using modified innervated radial collateral artery perforator flap. Surgical procedures that involved 12 modified innervated radial collateral artery perforator flaps were performed in 12 patients. Among the patients, two had defects in the thumbs, six had defects in the index fingers, whereas two had defects in the middle fingers, two had defects in the little fingers. The flaps ranged in size from 5.0× 2.0 to 7.5×4.0 cm. The pedicle of the flap was divided and ligated below the level at which the radial collateral artery was divided into anterior and posterior branches. The recipient vessels were the proper digital artery and the palmar subcutaneous vein (n=8), the deep branch of the ulnar palm artery (n=4), and the venae comitantes.Nerve suture was done between the posterior cutaneous nerve of the arm and the proper digital nerve of the digital. The cosmetic appearance of the donor and recipient sites and static two-point discrimination of the operated finger were evaluated in a follow-up visit. Postoperative venous congestion happened in two cases, and both succeeded after exploration. All flaps survived, and all donor sites were closed directly, leaving a linear scar. Follow-up time ranged from 12 to 28 months. Defatting of the flap was performed in two cases during the late postoperative period. Cosmetically acceptable results were achieved for the rest of the patients. The modified innervated radial collateral artery perforator flap is a good option for reconstructing soft-tissue defects in digits.

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Long-term outcome of neurovascular palmar advancement flaps for distal thumb injuries

Cited by 41 publications

References 21 publications

Reconstruction of the thumb tip using palmar neurovascular flaps

Reconstruction of the thumb tip using palmar neurovascular flaps

Use of Free Modified Innervated Posterior Interosseous Artery Perforator Flap to Repair Digital Skin and Soft Tissue Defects

Modified Innervated Radial Collateral Artery Perforator Flap for Repairing Digital Defects

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