The thenar flap—An analysis of its use in 150 cases

Melone, Charles P.; Beasley, Robert W.; Carstens, Johrl H.

doi:10.1016/s0363-5023(82)80182-2

Cited by 99 publications

(26 citation statements)

References 15 publications

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“…These results are slightly better than those for patients given conventional thenar aps. Melone et al (13) reported that m-2PD was 7 mm in 150 patients who underwent conventional thenar ap transfers, while according to a report by Smith and Bom (18) m-2PD was less than 8 mm in most patients who underwent cross-nger ap transfers. Atrophy of arterialised venous aps was less than that observed with the two-staged thenar ap, which may have facilitated reinnervation.…”

Section: Resultsmentioning

confidence: 99%

Recovery of Sensitivity in the Hand after Reconstruction with Arterialised Venous Flaps

Kushima

Iwasawa

Maruyama

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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Loss of soft tissues of the fingers were repaired in 22 patients using 25 arterialised venous flaps harvested from the thenar, hypothenar, or forearm regions. Twenty-one of the flaps survived completely, 16 of which were raised from the thenar or hypothenar region, and the other five from the forearm region. We studied the sensory recovery and skin characteristics of the flaps harvested from the three regions. Good sensory recovery was obtained for the thenar or hypothenar venous flaps, which were characterised by durable skin and suitable texture for replacement of defects in the finger pulp. On the other hand, no moving two-point discrimination was recorded during the follow-up period in the group given forearm venous flaps. These flaps showed instability during pinching and grasping. However, larger flaps and longer veins can be harvested from the forearm region. This type of flap is therefore considered useful for covering dorsal defects of the finger or large and multiple skin defects.

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Section: Resultsmentioning

confidence: 99%

Recovery of Sensitivity in the Hand after Reconstruction with Arterialised Venous Flaps

Kushima

Iwasawa

Maruyama

2002

Scandinavian Journal of Plastic and Reconstructive Surgery and

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“…Various methods of reconstruction by using local resources were described, such as V-Y advancement flaps (12,13) (which, sometimes, are too small or cannot provide enough advancement), distally (14) or proximally (15) based neurovascular island flaps (with the disadvantage of extensive dissection of the pedicle, sectioning of the pedicle in the distal variant, and often the skin grafting of the donor site), cross-finger flaps (16), thenar (17) or hypothenar flaps (18) (which need second stage surgery). The DAP flap, described by Koshima (1) avoids most of the disadvantages of these methods.…”

Section: Discussionmentioning

confidence: 99%

Propeller perforator flaps for finger reconstruction

Georgescu¹,

Matei²

2018

J. Xiangya Med.

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Replacement of lost skin of fingers, especially fingertips, can be extremely difficult, often requiring a distant regional or even microvascular tissue transfer. However, these are rarely tissues of similar qualities which may not provide the same function as those that had been lost. A better alternative that can even be simpler to obtain is to use tissues remaining adjacent to the defect, based on finger fascial perforators. Often, if moved in a propeller fashion, not only can the defect be closed but also the donor site itself, thereby avoiding the functional as well as aesthetic disadvantages of a skin graft.

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“…Although these flaps are easy to raise, they cannot be extended enough to provide complete coverage for type 3 and type 4 defects. When thenar flaps [10,11] are used for the reconstruction of type 3 and type 4 defects, a wide range of tissue is harvested from the palm, causing sensory impairment of the palm. Although free tissue transfer, such as wrap-around flaps [12,13], can provide sufficient soft tissue to cover the defects, free tissue transfer is a risky selection in that total flap loss may occur if vascular troubles develop.…”

Section: Discussionmentioning

confidence: 99%

“…Among reported reconstruction methods of the finger pulp are homodigital flaps [2-7], heterodigital flaps [8,9], thenar flaps [10,11], and free tissue transfer [12,13]. In performing reconstruction for type 3 and type 4 injuries, autologous bone grafts are often used in combination with these methods.…”

Section: Introductionmentioning

confidence: 99%

Combined usage of hydroxyapatite and cross-finger flap for fingertip reconstruction

Nagasao

Kurihara

Shimizu

et al. 2014

Journal of Plastic Surgery and Hand Surgery

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Reconstruction for fingertip defects categorized as Type 3 and Type 4 in Allen's classification is challenging, because surgeons need to reconstruct not only the pulp but also great parts of the distal phalangeal bone. This paper introduces an original technique for the reconstruction of defects of these types. The defects of seven fingers (two small fingers and five index fingers) of seven patients (three males and four females; aged 14-44 years) were repaired. After the fingertip is divided in a fish-mouth fashion to expose the stump of the distal phalangeal bone, a curved block of hydroxyapatite is grafted to fill the phalangeal defect and straighten the nail bed. A rectangular flap is raised from the dorsal side of the neighbouring finger in the region between the PIP and DIP joints. Then the fish-mouth region carrying the grafted hydroxyapatite is covered with the rectangular flap to reconstruct the pulp. The rectangular cross-finger flap is separated 3-4 weeks postoperatively. In all seven cases, the flap survived completely. Infection developed in no case. In all cases, aesthetic appearance of the pulp and nail presented improvement, satisfying the patients. Combined usage of hydroxyapatite and a cross-finger flap from the neighbouring finger is an effective method for the reconstruction of type 3 and type 4 defects in Allen's classification.

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The thenar flap—An analysis of its use in 150 cases

Cited by 99 publications

References 15 publications

Recovery of Sensitivity in the Hand after Reconstruction with Arterialised Venous Flaps

Recovery of Sensitivity in the Hand after Reconstruction with Arterialised Venous Flaps

Propeller perforator flaps for finger reconstruction

Combined usage of hydroxyapatite and cross-finger flap for fingertip reconstruction

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