Abstract:
INTRODUCTION:The aim of this study was to evaluate the esthetic and sensory outcomes after reconstruction of finger pulp defects with free toe flaps from the lateral aspect of the great toe. METHODS:From June 2006 to October 2011, we performed 48 free toe pulp transfers for finger pulp reconstruction in 43 patients; 18 male and 25 female patients with a mean age of 31.8 years (range, 16-47 years). Six patients suffered multiple digital pulp defects and five received two synchronous pulp transfers. The defects involved 20 thumbs, 15 index fingers, 10 long fingers, and 4 ring fingers, and flap size ranged from 24 × 18 to 55 × 30 mm. Follow-up evaluation included the functional and esthetic outcomes of the reconstructed pulps and donor toes. RESULTS:All but one flap survived completely. Overall, 32 cases (35 pulp flaps) were followed for more than 1 year (range, 12-48 months; average, 22.8 months). The Semmes-Weinstein sensitivity score was 2.83 to 4.74 at the flaps and the mean static two-point discrimination was 6.17 mm (range, 3-10 mm). A total of 13 patients (40.6%) experienced mild (10 cases) to moderate (3 cases) cold intolerance, and 1 patient (3.1%) suffered severe cold intolerance. According to the Michigan Hand Outcome Questionnaire the mean esthetic appearance score was 16 (range, 12-19). CONCLUSION:The free neurovascular great toe pulp flap is an efficient and reliable flap for the reconstruction of finger pulp defects.
journal_name
J Reconstr Microsurgjournal_title
Journal of reconstructive microsurgeryauthors
Zheng H,Liu J,Dai X,Machens HG,Schilling AFdoi
10.1055/s-0034-1396754subject
Has Abstractpub_date
2015-05-01 00:00:00pages
277-82issue
4eissn
0743-684Xissn
1098-8947journal_volume
31pub_type
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journal_title:Journal of reconstructive microsurgery
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journal_title:Journal of reconstructive microsurgery
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abstract::Background To date, only a few reports have been published on idiopathic lymphedema, and most of these are case reports. In this time, we performed a retrospective review of idiopathic lymphedema patients. Methods Forty patients presented with idiopathic lymphedema that was unrelated to surgery, injury, and medical co...
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更新日期:1996-01-01 00:00:00
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journal_title:Journal of reconstructive microsurgery
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