Jia-Xiang Gu1, Jun-Bo Pan1, Hong-Jun Liu1, Nai-Chen Zhang1, Heng Tian1, Wen-Zhong Zhang1, Tao Xu1, Shi-Ming Feng1, Jing-Cheng Wang2. 1. Hand and Foot Surgery Department, The People Hospital of Subei, Affiliated Clinical College of Yangzhou University, No. 98, The West Nangtong Road, Yangzhou, 225001, Jiangsu, People's Republic of China. 2. Hand and Foot Surgery Department, The People Hospital of Subei, Affiliated Clinical College of Yangzhou University, No. 98, The West Nangtong Road, Yangzhou, 225001, Jiangsu, People's Republic of China. nanfang3211@sina.com.
Abstract
BACKGROUND: This study illustrates aesthetic and sensory reconstruction of finger pulp defects with free toe flaps from the lateral aspect of the great toe or the medial aspect of the second toe. METHODS: Between August 2007 and July 2010, free toe flaps were harvested and used for 21 fingers of 21 patients. The average patient age was 34.5 years (range 19-62 years). The soft tissue defects were found in the thumb of 6 patients, the index finger of 7 patients, the middle finger of 5 patients, and the ring finger of 3 patients. The donor site was the great toe for 9 patients and the second toe for 12 patients. The average flap size was 2.8 × 2.0 cm (range 1.7 × 1.7 to 3.5 × 3.0 cm). Restoration of the sensitivity, aesthetic appearance, and mobility of the injured fingers compared with the opposite side was assessed using appropriate tools during the follow-up time. RESULTS: All the flaps in this series survived completely, with a high survival rate of 100 %. No urgent operative revision necessitated by postoperative thrombosis of the vessels was performed during the follow-up period. During a mean follow-up period of 18.4 months (range 12-24 months), the average static two-point discrimination score for the injured finger pulp was 4.8 mm (range 3-7 mm), and the Michigan Hand Outcome Questionnaire score was 4.9 mm. The mean range of motion of the distal interphalangeal joint in the injured finger was 69.7°. CONCLUSION: Transplantation of free microvascular flaps from the great toe or the second toe is a useful and reliable technique for finger pulp defect reconstruction. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
BACKGROUND: This study illustrates aesthetic and sensory reconstruction of finger pulp defects with free toe flaps from the lateral aspect of the great toe or the medial aspect of the second toe. METHODS: Between August 2007 and July 2010, free toe flaps were harvested and used for 21 fingers of 21 patients. The average patient age was 34.5 years (range 19-62 years). The soft tissue defects were found in the thumb of 6 patients, the index finger of 7 patients, the middle finger of 5 patients, and the ring finger of 3 patients. The donor site was the great toe for 9 patients and the second toe for 12 patients. The average flap size was 2.8 × 2.0 cm (range 1.7 × 1.7 to 3.5 × 3.0 cm). Restoration of the sensitivity, aesthetic appearance, and mobility of the injured fingers compared with the opposite side was assessed using appropriate tools during the follow-up time. RESULTS: All the flaps in this series survived completely, with a high survival rate of 100 %. No urgent operative revision necessitated by postoperative thrombosis of the vessels was performed during the follow-up period. During a mean follow-up period of 18.4 months (range 12-24 months), the average static two-point discrimination score for the injured finger pulp was 4.8 mm (range 3-7 mm), and the Michigan Hand Outcome Questionnaire score was 4.9 mm. The mean range of motion of the distal interphalangeal joint in the injured finger was 69.7°. CONCLUSION: Transplantation of free microvascular flaps from the great toe or the second toe is a useful and reliable technique for finger pulp defect reconstruction. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
Authors: Chang Sik Pak; Ji-In Jeon; Yujin Myung; Yung Ki Lee; Byung Jun Kim; Jae Hoon Jeong; Baek-Kyu Kim Journal: Biomed Res Int Date: 2018-05-09 Impact factor: 3.411
Authors: Luigi Troisi; Erica Tedone Clemente; Valentina Susca; Macarena Vizcay; Francesco Zanchetta; Sara Stucchi; Giorgio Eugenio Pajardi Journal: Plast Reconstr Surg Glob Open Date: 2022-09-30
Authors: Luigi Troisi; Sara Stucchi; Macarena Vizcay; Francesco Zanchetta; Antonio Baez; Eugenio Eugenio Parjardi Journal: Plast Reconstr Surg Glob Open Date: 2022-09-30