Repair of distal thumb degloving injury using combination of reverse dorsoradial flap of the thumb and middle finger proper digital arterial island flap

Autor: Bin Wang, Huanyou Yang, Yongxin Huo, Ruizheng Hao, Hui Wang
Rok vydání: 2020
Předmět:
Adult
Male
Middle finger proper digital arterial island flap
medicine.medical_specialty
Scab formation
Time Factors
lcsh:Diseases of the musculoskeletal system
Visual Analog Scale
Visual analogue scale
Combined use
030230 surgery
Middle finger
Thumb
Reverse dorsoradial flap of the thumb
Surgical Flaps
Young Adult
03 medical and health sciences
Postoperative Complications
0302 clinical medicine
lcsh:Orthopedic surgery
Finger Injuries
medicine
Humans
Orthopedics and Sports Medicine
Range of Motion
Articular
Retrospective Studies
Surgical repair
030222 orthopedics
Degloving
business.industry
Middle Aged
medicine.disease
Surgery
body regions
lcsh:RD701-811
Treatment Outcome
medicine.anatomical_structure
Patient Satisfaction
Orthopedic surgery
Female
lcsh:RC925-935
business
Distal thumb degloving injury
Research Article
Follow-Up Studies
Zdroj: Journal of Orthopaedic Surgery and Research, Vol 15, Iss 1, Pp 1-7 (2020)
Journal of Orthopaedic Surgery and Research
ISSN: 1749-799X
DOI: 10.1186/s13018-020-01940-y
Popis: Background To examine the efficacy of combination of the reverse dorsoradial flap of the thumb and middle finger proper digital arterial island flap for repair of distal thumb degloving injury. Methods Twelve patients with mechanical distal thumb degloving injuries were treated between February 2017 and August 2019. A combination of the reverse dorsoradial flap of the thumb and the middle finger proper digital arterial island flap were used. Semmes–Weinstein (SW) monofilament and static two-point discrimination (S-2PD) tests, active range-of-motion (ROM) of the joints, cold intolerance, visual analog scale (VAS) score patient complications, and patient satisfaction were sequentially evaluated. Results Two cases with postoperative flap blisters were treated at time of dressing changes up to successful scab formation. One case with postoperative arterial crisis of finger arterial dorsal branch vessel was successfully released in the pedicle. Ten cases healed by first intention and 2 cases by secondary intention. Twelve patients received follow-up examinations between 3 and 20 months (average 13 months) post-treatment, and all exhibited full, soft flaps with no fingertip pain. Conclusion The combined use of the reverse dorsoradial flap of the thumb and the middle finger proper digital arterial island flap is a practical and effective approach to surgical repair of distal thumb degloving injuries.
Databáze: OpenAIRE
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