Reconstruction of Fingertip Injuries: Surgical Tips and Avoiding Complications

Panattoni, Joao B.; Oña, Ignacio Roger de; Ahmed, Mohammed M.

doi:10.1016/j.jhsa.2015.02.010

Cited by 44 publications

(43 citation statements)

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“…Atypical epidermoid cyst containing multiple nail plates at a finger amputation stump Dear Sir, Fingertip injury is the most common problem in upper extremity trauma (Panattoni et al, 2015). The multiple treatment options are a source of great controversy, and there are also many complications after treatment.…”

Section: Jhs(e)mentioning

confidence: 99%

Atypical epidermoid cyst containing multiple nail plates at a finger amputation stump

Kim

Park

2016

J Hand Surg Eur Vol

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Section: Jhs(e)mentioning

confidence: 99%

Atypical epidermoid cyst containing multiple nail plates at a finger amputation stump

Kim

Park

2016

J Hand Surg Eur Vol

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“…La anatomía única y especializada del pulpejo de los dedos es un componente indispensable en el desempeño de funciones críticas como la sensibilidad, la manipulación fina, y el agarre 11 . Como tal, es importante estar familiarizado con las opciones de tratamiento disponibles para este tipo de lesiones, con el fin de proporcionar el mejor resultado funcional y estético para los pacientes.…”

Section: Figura 1 A)unclassified

Colgajos libres en cirugía de la mano: nuestra experiencia en 49 casos

Villanueva

Oña

Oya

et al. 2016

Rev Iberoam Cir Mano

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PALABRAS CLAVEColgajos libres; Reconstrucción microquirúrgica; Mano; Cobertura cutánea ResumenObjetivo: Revisar los colgajos libres utilizados más frecuentemente en la reconstrucción de la mano y evaluar sus resultados, ventajas y complicaciones. Material y método: Entre el 2011 y el 2014, 49 pacientes fueron intervenidos mediante diferentes transferencias microquirúrgicas, con una edad media de 41 años (25-57). En función de la localización del defecto, se han realizado: a) 29 colgajos libres para los dedos; b) 11 transferencias libres para cobertura de la mano, diferenciando entre zona dorsal de la mano y primera comisura: 5 pacientes; zona volar: 2 pacientes, y cobertura de ambas simultá-neamente: 4 pacientes, y c) 9 transferencias óseas vascularizadas para seudoartosis (7 casos) y reconstrucción de articulaciones (2 casos) en la mano y los dedos.Los resultados fueron evaluados en términos de supervivencia del colgajo, complicaciones, reintervenciones y satisfacción del paciente. Además, en los casos de afectación de los pulpejos de los dedos, también se valoró el índice de discriminación de 2 puntos. Resultados: El porcentaje de supervivencia del colgajo fue del 100%. En 5 casos fue necesaria una tenoartrólisis secundaria y en otro caso (lateral de brazo para cobertura volar de 4 dedos) se intervino al paciente en 2 ocasiones más para la separación completa de los dedos. Se obtuvieron buenos resultados estéticos y funcionales en todos los pacientes, con alto grado de satisfacción. Los pacientes con afectación del pulpejo obtuvieron una media en el índice de discriminación de 2 puntos de 9,1 mm (8-11). Conclusiones: En nuestra opinión, el uso de colgajos libres en cirugía de la mano proporciona un mejor resultado, sin sacrificar ----a diferencia de los colgajos locales----, otras zonas sanas de la mano, consiguiéndose una mínima morbilidad de la zona donante y muy buenos resultados estéticos y funcionales. Document downloaded from http://www.elsevier.es, day 07/07/2017. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. Document downloaded from http://www.elsevier.es, day 07/07/2017. This copy is for personal use. Any transmission of this document by any media or format is strictly prohibited. Material and methods: A total of 49 patients, with a mean age of 41 years old (25-57), underwent different microsurgical transfers for hand reconstruction between 2011 and 2014. The type of transfer performed depended on the location of the defects: a) 29 free flaps for finger reconstruction, b) 11 free transfers for hand coverage (dorsal coverage and first web space: 5 patients; volar hand defects: 2 patients; coverage of both regions of the hand at the same time: 4 patients, and c) 9 free vascularised bone transfers for non-unions (7 cases) and joint reconstructions (2 cases) in hand and fingers.The results were evaluated in terms of flap survival, complications, secondary procedures, and patient satisfaction. In addition, when fingertip reconstruction was i...

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“…4,5 Options for treatment include healing by secondary intention; skin grafting; local flaps such as a V-Y plasty; distal flaps such as homodigital flaps, microsurgical reconstruction with pulp transplants, and replantation. [6][7][8][9] Treatment of Fingertip Injuries among Surgeons Ng et al…”

Section: Introductionmentioning

confidence: 99%

Management of Fingertip Injuries: A Survey of Opinions of Surgeons Worldwide

Jing

Rajaratnam

2022

Journal of Hand and Microsurgery

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Introduction Fingertip injuries are common injuries in all ages. There is currently no consensus nor evidence to support the use of any one treatment, with numerous options available for management. The aim is to review the consensus for treatment of fingertip injuries among surgeons worldwide. Materials and Methods Nonprobability judgment sampling using purposive method was performed on surgeons (n = 65) using two digital platforms of the community of practice of hand surgeons. Three illustrative case scenarios were presented to the participants to understand their consensus on treating fingertip injuries, and their choice of treatment for themselves with a similar injury. Results This survey demonstrates that there is a wide range of treatment preferences for fingertip injuries for each clinical scenario. In Allen 1 and in crush injuries, most respondents favored healing by secondary intention (66.2 and 92.3%, respectively). In Allen 3 injuries, 72.3% favored surgical intervention. In all clinical scenarios, most surgeons would want their own fingertip injuries treated identically to how they would treat patients with similar fingertip injuries (93.9, 96.9, and 95.4%, respectively). Furthermore, our study demonstrated experience in surgery was not associated with treatment preferences. Conclusion Management of fingertip injuries remains controversial, but this study is suggestive that treatment preferences may not be determinant on patient factors, given that all of our respondents are highly functioning individuals who practice microsurgery, but most chose to administer the same treatment to patients as they would to themselves.

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Reconstruction of Fingertip Injuries: Surgical Tips and Avoiding Complications

Cited by 44 publications

References 16 publications

Atypical epidermoid cyst containing multiple nail plates at a finger amputation stump

Atypical epidermoid cyst containing multiple nail plates at a finger amputation stump

Colgajos libres en cirugía de la mano: nuestra experiencia en 49 casos

Management of Fingertip Injuries: A Survey of Opinions of Surgeons Worldwide

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