Treatment of Thumb Tip Degloving Injury Using the Modified First Dorsal Metacarpal Artery Flap

Chen, Chao; Zhang, Xu; Shao, Xinzhong; Gao, Shunhong; Wang, Bin; Liu, Dequn

doi:10.1016/j.jhsa.2010.06.030

Cited by 38 publications

(36 citation statements)

References 24 publications

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“…However, early rehabilitation with the help of a physical therapy assistant can reduce morbidity. 26 In our series, morbidity related to the donor areas was minimal.…”

mentioning

confidence: 54%

Use of the Dorsal Digital Sensate Free Flap for Reconstruction of Volar Soft Tissue Defect of Digits

Chen¹,

Tang²,

Xu³

2014

Annals of Plastic Surgery

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Sensate cross-finger flaps and homodigital and heterodigital island flaps can usually be used for sensory reconstruction in the volar aspect of the digit. However, when the donor areas are damaged by concomitant injuries, these flaps are not available. The free dorsal digital flap, including both dorsal branches of the proper digital nerves, can be used as an alternative to resolve this problem. The flap was used in 16 patients with soft tissue defects on the volar aspect of the digits. For comparison, we collected a consecutive series of 31 patients with similar defects treated using a cross-finger flap including one branch. At final follow-up, the static 2PD of 2-branch flap is superior to 1-branch flap. The dorsal digital sensate free flap can be used as an alternative for the reconstruction of volar soft tissue defect of the digits. Sufficient sensory recovery can be achieved using this technique.

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“…However, early rehabilitation with the help of a physical therapy assistant can reduce morbidity. 26 In our series, morbidity related to the donor areas was minimal.…”

mentioning

confidence: 54%

Use of the Dorsal Digital Sensate Free Flap for Reconstruction of Volar Soft Tissue Defect of Digits

Chen¹,

Tang²,

Xu³

2014

Annals of Plastic Surgery

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“…Secondary healing, primary repair, or revision amputation are single-stage options for the management of fingertip injuries. Although secondary healing can be considered for the treatment of fingertip injuries without bone exposure, higher incidences of cold intolerance have been noted, as have loss of tissue volume and instability of the pulp tissue [8,9]. Although primary repair or revision amputations can be accomplished in a single stage, the finger is shortened.…”

Section: Discussionmentioning

confidence: 99%

Thumb fingertip reconstruction with palmar V–Y flaps combined with bone and nail bed grafts following amputation

Zhou

Wang²,

et al. 2015

Arch Orthop Trauma Surg

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“…30 This flap can be modified to include both dorsal branches of the proper digital nerve for reconstruction of larger thumb tip defects with nerve coaptation, which provides increasingly sensate coverage with resultant two-point discrimination between 7 and 10 mm. 33,34 One advantage of the first dorsal metacarpal artery flap is the utilization of local, expendable tissue from the ipsilateral extremity. The flap's disadvantages are that it is composed of nonglabrous skin and return of sensibility can be variable.…”

Section: Conventional Option: First Dorsal Metacarpal Artery Flapmentioning

confidence: 99%

Soft-Tissue Coverage of the Hand

Eberlin¹,

Chang²,

Curtin³

et al. 2014

Plastic and Reconstructive Surgery

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Adequate soft-tissue coverage of the hand is paramount to achieve optimal aesthetic and functional results in patients with complex hand defects. In this article, the authors present four illustrative clinical cases and discuss potential reconstructive modalities. For each scenario, two surgical options are discussed: one established and one nontraditional method of reconstruction. The authors' preferred method and technical pearls for execution are presented.

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Treatment of Thumb Tip Degloving Injury Using the Modified First Dorsal Metacarpal Artery Flap

Cited by 38 publications

References 24 publications

Use of the Dorsal Digital Sensate Free Flap for Reconstruction of Volar Soft Tissue Defect of Digits

Use of the Dorsal Digital Sensate Free Flap for Reconstruction of Volar Soft Tissue Defect of Digits

Thumb fingertip reconstruction with palmar V–Y flaps combined with bone and nail bed grafts following amputation

Soft-Tissue Coverage of the Hand

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