Repair of distal thumb degloving injury using combination of reverse dorsoradial flap of the thumb and middle finger proper digital arterial island flap

Hao, Ruizheng; Wang, Bin; Wang, Hui; Yang, Hun‐Mu; Huo, Yongxin

doi:10.1186/s13018-020-01940-y

Cited by 12 publications

(17 citation statements)

References 27 publications

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“…In the management of a fingertip injury, although it is essential to maintain the length, preserve the nail and the appearance, the main goal of treatment is to ensure the durability of the fingertip and painless at the skin. Therefore, the treatment must be individualized based on several patient-related factors and unique trauma characteristics [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Parallelogram flap versus homodigital island flap in the treatment of fingertip defects with bone exposure: a prospective controlled study

Zhang

Wang

et al. 2022

J Orthop Surg Res

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Purpose A modified local transposition flap (we call it “parallelogram flap”) surgery was performed for fingertip injuries. This study aimed to compare the clinical effects of parallelogram flap and homodigital island flaps in fingertip reconstruction. Methods The study collected patients who underwent parallelogram transposition flaps and homodigital island flaps to repair fingertip defects from 2019 to 2021. 150 cases (150 fingers) were included in our study. All operations were performed by one surgical team. Record the operation time, two-point discrimination (2PD), Total Active Movement (TAM) and the MHQ (Michigan Hand Questionnaire) of the injured fingers to evaluate the therapeutic effect. Results All parallelogram (Group A) and homodigital island flap (Group B) had survived postoperatively. The operative duration of Group A (31.2 ± 3.3 min) is shorter than Group B (97.8 ± 6.1 min) (P < 0.05). At the 6-month follow-up, there was no difference with the two-point discrimination (2PD) of the palmar part of the flaps and the Total Active Movement (TAM) of injured figures in Group A and Group B. The MHQ summary scores in Group A (94.29 ± 3.14) were much higher than in Group B (91.73 ± 3.41) (P < 0.05). Evaluation of the MHQ subscale performance showed that the overall hand function, activities of daily living, work performance and pain score had no differences(P > 0.05), but aesthetics (92.15 ± 7.16) and satisfaction (92.45 ± 5.61) score in Group A was higher than aesthetics (86.56 ± 5.60) and satisfaction (86.72 ± 8.21) score in Group B (P < 0.05 for both). Conclusions The reconstruction using parallelogram flaps is a easier and more versatile treatment with better functions, less morbidity and better aesthetics. This method is a better choice for reconstruction of fingertip injury.

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Section: Discussionmentioning

confidence: 99%

Parallelogram flap versus homodigital island flap in the treatment of fingertip defects with bone exposure: a prospective controlled study

Zhang

Wang

et al. 2022

J Orthop Surg Res

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“… 3 Less commonly, a circumferential loss of soft tissue, caused by distal finger or thumb degloving injuries, may require the use of multiple flaps for reconstruction, which again is not ideal as it leaves multiple donor sites in an already injured hand. 9 …”

Section: Discussionmentioning

confidence: 99%

Resurfacing of a Degloved Finger With a Reverse Radial Adipofascial Forearm Flap

Xie

Shukla

2022

Journal of Hand Surgery Global Online

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“…In the management of a ngertip injury, although it is essential to maintain the length, preserve the nail and the appearance, the main goal of treatment is to ensure the durability of the ngertip and painless at the skin. Therefore, the treatment must be individualized based on several patient-related factors and unique trauma characteristics [13].…”

Section: Discussionmentioning

confidence: 99%

Clinical Application of a Modified Local Transposition Flap Surgery in Repairing Fingertip Defects

Zhang

Wang

et al. 2021

Preprint

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Background: A modified local transposition flap surgery was performed for fingertip injuries, which allows a more significant transfer distance with good outcomes.Methods: The study collected patients who underwent parallelogram transposition flaps and V-Y flaps to repair fingertip defects from 2017 to 2020. 122 cases (122 fingers) were included in our study, The interval between the injury and operation was 5.78 h (the mean value was 4.7-8.4 h). All operations were performed by one surgical team, and the average operation time was 31.2 min.Record the operation time，two-point discrimination（2PD），Total Active Movement (TAM)and the MHQ (Michigan Hand Questionnaire) of the injured fingers to evaluate the therapeutic effect.Results: All parallelogram （Group A）and V-Y flaps （Group B）had survived postoperatively. There was no difference with operative duration and follow-up time in two groups. At last follow-up, there was no difference with the 2PD of the palmar part of the flaps and the TAM of injured figures in Group A and Group B . The MHQ summary scores in Group A were much higher than in Group B . Evaluation of the MHQ subscale performance showed that the overall hand function, activities of daily living, work performance and pain score had no differences, but aesthetics and satisfaction score was higher in Group A .Conclusions: The reconstruction using parallelogram flaps is a easier and more versatile treatment with better functions, less morbidity and better aesthetics. This method is a better choice for reconstruction of fingertip injury.

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Repair of distal thumb degloving injury using combination of reverse dorsoradial flap of the thumb and middle finger proper digital arterial island flap

Cited by 12 publications

References 27 publications

Parallelogram flap versus homodigital island flap in the treatment of fingertip defects with bone exposure: a prospective controlled study

Parallelogram flap versus homodigital island flap in the treatment of fingertip defects with bone exposure: a prospective controlled study

Resurfacing of a Degloved Finger With a Reverse Radial Adipofascial Forearm Flap

Clinical Application of a Modified Local Transposition Flap Surgery in Repairing Fingertip Defects

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