This Article Full Text (OnlineFirst PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Scopus Google Scholar Articles by ÖZAKSAR, K. Articles by KAPLAN, I PubMed PubMed Citation Articles by ÖZAKSAR, K. Articles by KAPLAN, I Social Bookmarking                         What's this?

Reconstruction of finger pulp defects using homodigital dorsal middle phalangeal neurovascular advancement flap

Kemal ÖZAKSAR^*, T TOROS, T S SÜGÜN, E BAL, Y ADEMOLU, and KAPLAN

Orthopaedics and Traumatology (EMOT) Hospital

^* To whom correspondence should be addressed. E-mail: kemalozaksar{at}hotmail.com.

	Abstract

Eighteen finger pulp defects were reconstructed using a homodigital dorsal middle phalangeal neurovascular island flap procedure based on a single neurovascular pedicle preserving the length of the finger. All flaps survived and achieved adequate functional and cosmetic results. The mean follow-up time was 22 months. The mean value of static two-point discrimination test of the healed flaps was 7 mm and the mean value of moving two-point discrimination test was 5 mm. Range of motion was considered satisfactory in all reconstructed fingers except one, in which a 20° extension deficit at the proximal interphalangeal joint was observed. This flap represents a useful alternative for reconstruction of the fingers with large pulp defects.

First published on August 17, 2009
Journal of Hand Surgery (European Volume) 2009, doi:10.1177/1753193409337957


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?