A Comparative Study of Finger Pulp Reconstruction Using Free Distal Ulnar Artery Perforator Flaps and Reverse Dorsal Homodigital Island Flaps
| Autor: | Tingxiang Chen, Qiming Tu, Zhijie Li, Hede Yan, Shi Li, Shaodong Liu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Dorsum medicine.medical_specialty Soft Tissue Injuries Esthetics Island Flaps 030230 surgery Risk Assessment Surgical Flaps Cohort Studies Ulnar Artery 03 medical and health sciences Surgical time Injury Severity Score Return to Work 0302 clinical medicine medicine.artery Finger Injuries medicine Humans Ulnar artery Retrospective Studies Wound Healing business.industry Graft Survival Recovery of Function Middle Aged Plastic Surgery Procedures Functional recovery Surgery Treatment Outcome 030220 oncology & carcinogenesis Sensation Disorders Pulp (tooth) Female Range of motion business Perforator Flap Perforator flaps |
| Zdroj: | Annals of Plastic Surgery. 83:650-654 |
| ISSN: | 1536-3708 0148-7043 |
| Popis: | Purpose This study aimed to compare and analyze the outcomes of finger reconstruction using free distal ulnar artery perforator (FDUAP) and reverse dorsal homodigital island (RDHI) flaps. Methods The study included 27 patients with finger pulp defects that were reconstructed using FDUAP or RDHI flaps. Standardized assessment of outcomes included objective sensory recovery, duration of operation, range of motion in the repaired fingers, pain at the reconstructed finger pulps and donor sites, and recovery time before returning to work. Subjective assessment of outcomes included the cold intolerance, aesthetic appearance, and functional recovery. Results All flaps in the series showed complete survival. The average surgical time for the RDHI flaps was significantly smaller than that for the FDUAP flaps. Sensory recovery was significantly better with FDUAP flaps than with RAHI flaps. No significant differences were detected between the 2 procedures regarding range of motion, cold intolerance, or pain of the injured finger pulps and donor sites. The outcomes of aesthetic result and functional recovery satisfied all patients. Optimal cosmetic satisfaction was obtained in the FDUAP flap group. Conclusions Although both types of flaps offer a satisfactory approach for finger reconstruction with small-to-medium defects, FDUAP flaps are more suitable for such operations because of the better sensory reconstruction and aesthetic results. |
| Databáze: | OpenAIRE |
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