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Journal of Hand Surgery (British and European Volume)
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Articles

A Neurovascular Island Flap for Volar-Oblique Fingertip Amputations

Analysis of long-term results

T-M TSAI
JC YUEN

From the Christine M. Kleinert Institute for Hand and Micro Surgery, Louisville, KY, USA

Correspondence: Tsu-Min Tsai, MD, Christine M. Kleinert Institute for Hand and Micro Surgery, One Medical Center Plaza, Suite 850, 225 Abraham Flexner Way, Louisville, Kentucky 40202, USA.

A neurovascular island flap has been developed to reconstruct volar-oblique fingertip amputations. This study analyzes the data collected on 16 patients who were treated with this flap and had at least 2 years follow-up. The average active/passive range of motion was 54/55° at the DIP joint, 96/98° at the PIP joint, and 83/83° at the MP joint. Twelve out of 16 flaps (75%) had two-point discrimination better than 10 ram. Moderate and severe problems included cold intolerance (six patients), hypersensitivity (three patients), stiffness (three patients), and numbness (two patients). Out of the 16 patients treated with this technique, 14 were satisfied with their surgical outcome. In experienced hands, this technique is a safe and reliable method with which to reconstruct volar-oblique fingertip amputations.

Journal of Hand Surgery (British and European Volume), Vol. 21, No. 1, 94-98 (1996)
DOI: 10.1016/S0266-7681(96)80020-9
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