Free medial plantar artery perforator flap for finger pulp reconstruction: report of a series of 10 cases.

Abstract:

PURPOSE:Treatment of composite tissue loss in the finger pulp is often difficult. The purpose of this report is to present our experience on using medial plantar artery perforator flap for repair of finger pulp defects and to restore fingertip sensation after traumatic injury. PATIENTS AND METHODS:The free medial plantar artery perforator (MPAP) flaps were performed for digital pulp reconstruction in ten patients (eight fingertips and two thumbtips) between June, 2006 and December, 2007. This flap blood supply was perforator vessel of medial plantar artery, which was through the intermuscular septum between the abductor hallucis muscle and the flexor digitorum muscle. The recipient vessels were digital artery and dorsal digital vein. The flap was not reinnervated during transfer procedures. The donor sites were closed primarily in all cases. RESULTS:Flap size ranged from 15 x 25 mm to 60 x 20 mm. All flaps were survival. Partial loss occurred in one flap, due to venous congestion caused by excessive stitch tension. The donor sites healed unevenfully in eight cases, but mild wound dehiscence occurred in two cases. The follow-ups ranged from 6 to 29 months with the mean of 18.1 months. The mean of s-2PD and m-2PD were 8.8 mm and 6.8 mm at patients' last visits, respectively. CONCLUSION:MPAP flaps are good in terms of general morbidity, cosmetic results, and durability. This flap is a valuable alternative method of repairing the glabrous finger pulp and tip defects.

journal_name

Microsurgery

journal_title

Microsurgery

authors

Huang SH,Wu SH,Lai CH,Chang CH,Wangchen H,Lai CS,Lin SD,Chang KP

doi

10.1002/micr.20718

subject

Has Abstract

pub_date

2010-01-01 00:00:00

pages

118-24

issue

2

eissn

0738-1085

issn

1098-2752

journal_volume

30

pub_type

杂志文章
  • Tendocutaneous free flap transfer from the dorsum of the foot.

    abstract::Tendocutaneous free flap transfer has been used to treat troublesome wounds involving skin and tendons, with the dorsum of the foot being the most frequent donor site. Free flaps consist of the dorsalis pedis artery, saphenous vein, branch of the superficial peroneal nerve, long extensor tendons, and overlying skin. W...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920151211

    authors: Lee KS,Park SW,Kim HY

    更新日期:1994-01-01 00:00:00

  • Modified trichrome staining technique of the nerve to determine proximal nerve viability.

    abstract::Normal myelinated fibers are stained "red" by modified trichrome staining of the frozen section of the nerve. We have used this technique for rapid assessment of the anatomical integrity of the proximal nerve stump by identifying well-preserved myelinated fibers. This technique can also identify degenerating and degen...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160302

    authors: Meyer R,Claussen GC,Oh SJ

    更新日期:1995-01-01 00:00:00

  • Vascularized fibular grafting for treatment of aseptic necrosis of the femoral head--preliminary results in four cases.

    abstract::Vascularized grafting with segments of fibula was performed in four men with aseptic necrosis of the femoral head. The patients were restricted to relatively young individuals in whom the necrosis seemed to be confined to two-thirds or less of the femoral head and in whom the outer shell of the femoral head appeared r...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920040108

    authors: Fujimaki A,Yamauchi Y

    更新日期:1983-01-01 00:00:00

  • The place of the iliac crest in vascularized oromandibular reconstruction.

    abstract::The iliac crest is reevaluated with respect to the rapid evolution of vascularized mandibular reconstruction. With more flaps to choose from, indications for the crest have become more specific-playing to the strengths of this particular transfer. Ideally, defects should exclude soft tissue and occupy lateral segments...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920150406

    authors: Boyd JB

    更新日期:1994-01-01 00:00:00

  • Reconstruction of peripheral nerves using acellular nerve grafts with implanted cultured Schwann cells.

    abstract::The bridging of nerve gaps is still one of the major problems in peripheral nerve surgery. The present experiment describes our attempt to engineer different biologic nerve grafts in a rat sciatic nerve model: cultured isogenic Schwann cells were implanted into 2-cm autologous acellular nerve grafts or autologous pred...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10056

    authors: Frerichs O,Fansa H,Schicht C,Wolf G,Schneider W,Keilhoff G

    更新日期:2002-01-01 00:00:00

  • Survival of microvascular free flaps in mandibular reconstruction: A systematic review and meta-analysis.

    abstract:BACKGROUND:Free tissue transfer is commonly used in the reconstruction of post-ablative defects of the mandible. Due to lack of statistical power, comparing the survival of various free flaps, even in large studies, is challenging. The purpose of this study was to perform a meta-analysis comparing the survival of the m...

    journal_title:Microsurgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1002/micr.22471

    authors: Markiewicz MR,Bell RB,Bui TG,Dierks EJ,Ruiz R,Gelesko S,Pirgousis P,Fernandes R

    更新日期:2015-10-01 00:00:00

  • Free flap monitoring using an implantable anastomotic venous flow coupler: Analysis of 119 consecutive abdominal-based free flaps for breast reconstruction.

    abstract:PURPOSE:The purpose of this study is to evaluate the use of the venous anastomotic Flow Coupler in monitoring free flaps used for breast reconstruction in a consecutive series of patients. METHODS:Retrospective data were collected on patients undergoing free flap breast reconstruction from May 2012 to March 2014. The ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22341

    authors: Kempton SJ,Poore SO,Chen JT,Afifi AM

    更新日期:2015-07-01 00:00:00

  • Effect of hyperbaric oxygen on pedicle flaps with compromised circulation.

    abstract::The effect of hyperbaric oxygen (HBO) on the survival rate of experimental rat pedicle island flaps with arterial, venous, and combined arteriovenous insufficiency was evaluated. Forty male Wistar rats with pedicle island flaps were divided into four groups with different types of vascular status. Another 40 male Wist...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22004

    authors: Ulkür E,Yüksel F,Açikel C,Celiköz B

    更新日期:2002-01-01 00:00:00

  • Inter- and intraobserver reliability of walking-track analysis used to assess sciatic nerve function in rats.

    abstract::The inter- and intraobserver reliability of the walking-track analysis of sciatic nerve function in the rat was assessed. Twenty-five walking tracks were assessed on three different occasions by four observers. Whereas the interobserver reliability was found to be excellent (r = 0.92), the intraobserver reliability wa...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920120204

    authors: Brown CJ,Evans PJ,Mackinnon SE,Bain JR,Makino AP,Hunter DA,Hare G

    更新日期:1991-01-01 00:00:00

  • Transfer of two motor branches of the anterior obturator nerve to the motor portion of the femoral nerve: an anatomical feasibility study.

    abstract::Femoral nerve lesions are uncommon, but very distressing at the functional level because of the absence of knee locking mechanism by the quadriceps muscle. We propose here a new neurotization procedure of obturator nerve motor branches to the motor portion of the femoral nerve in the thigh. This study was conducted on...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22012

    authors: Goubier JN,Teboul F,Yeo S

    更新日期:2012-09-01 00:00:00

  • Fascicular nerve graft using an empty perineurial tube: an experimental study in the rabbit.

    abstract::An experimental model of a free, empty perineurial tube for use as a nerve graft is presented as an alternative to existing methods. The technique is described and the model compared with conventional nerve graft in the sciatic nerve of a rabbit. Results are evaluated with EMG studies, angiography, and histology. The ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920040207

    authors: Restrepo Y,Merle M,Michon J,Folliguet B,Petry D

    更新日期:1983-01-01 00:00:00

  • Current status of topical antithrombotic agents in microvascular surgery.

    abstract::Several technical advances over the years have allowed microsurgery to be successful. However, thrombosis, particularly at the anastomosis site, remains a complication of microvascular surgery. Various preventive measures, including drugs, have been used to improve microvascular surgical anastomotic patency rates. The...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1920150905

    authors: Das SK,Miller JH

    更新日期:1994-01-01 00:00:00

  • Comparison of in vivo lymphocyte proliferation between allogeneic and xenogeneic heart transplantation in mice.

    abstract::There are controversial in vitro data comparing the strength of the cellular immune response between allogeneic and xenogeneic stimulator/responder combinations. The present study therefore compares in vivo lymphocyte proliferation using heart transplantation (HTx) models in mice. Heterotopic HTx into BALB/c mice was ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10183

    authors: Kellersmann R,Kellersmann A,Thiede A,Ulrichs K

    更新日期:2003-01-01 00:00:00

  • Quantity of lymph nodes correlates with improvement in lymphatic drainage in treatment of hind limb lymphedema with lymph node flap transfer in rats.

    abstract:PURPOSE:This study was conducted to investigate the correlation between the number of vascularized lymph nodes (LN) transferred and resolution of hind limb lymphedema in a rat model. METHODS:Unilateral hind limb lymphedema was created in 18 male Sprague-Dawley rats following inguinal and popliteal LN resection and rad...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22388

    authors: Nguyen DH,Chou PY,Hsieh YH,Momeni A,Fang YH,Patel KM,Yang CY,Cheng MH

    更新日期:2016-03-01 00:00:00

  • Re-animation of muscle flaps for improved function in dynamic myoplasty.

    abstract::The authors report on a series of experiments designed to produce a skeletal muscle contraction functional for dynamic myoplasties. Conventional stimulation techniques recruit all or most of the muscle fibers simultaneously and with maximal strength. This approach has limitations in free dynamic muscle flap transfers ...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.1052

    authors: Stremel RW,Zonnevijlle ED

    更新日期:2001-01-01 00:00:00

  • A pedicled muscle flap based solely on a neural pedicle.

    abstract::We tested the hypothesis that the intrinsic vascular plexus of the motor nerve could support viability in a rat hindlimb muscle flap. In a preliminary study, we examined the course and vascularity of the sciatic nerve, the peroneal nerve, and the peroneous longus muscle in the rat hindlimb via anatomic dissection, mic...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20609

    authors: Avci G,Akan M,Akoz T,Kuzon W,Gul AE

    更新日期:2009-01-01 00:00:00

  • Intraoperative flap design using ICG monitoring of a conjoined fabricated anterolateral thigh/tensor fasciae latae perforator flap in a case of extensive soft tissue reconstruction at the lower extremity.

    abstract::In this report, we present a case of the use of a conjoined fabricated free anterolateral thigh (ALT)/tensor fascia latae (TFL) perforator flap for reconstruction of the lower extremity with intraoperative flap design using intraoperative indocyanine green (ICG) monitoring. The flap was used for reconstruction of a 16...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.22424

    authors: Buehrer G,Taeger CD,Ludolph I,Horch RE,Beier JP

    更新日期:2016-11-01 00:00:00

  • Effect of isovolemic hemodilution with 3% albumin on thrombus formation at venous microanastomosis in rats.

    abstract::The present investigation was undertaken to evaluate the effect of isovolemic hemodilution with 3% albumin per se on the prevention of microvascular venous thrombosis, using an experimental model in rats mimicking the thrombotic mechanisms similar to those in clinical situations. Male Wistar rats were allocated into t...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.21743

    authors: Farina JA Jr,Piccinato CE,Rossi MA,Mazzer N,Llorach-Velludo MA

    更新日期:2002-01-01 00:00:00

  • Intrinsic haemangioma of the median nerve: report of a case and review of the literature.

    abstract::Intrinsic haemangioma of the median nerve is an extremely rare tumor that represents a challenge to diagnose and treat. Only a few cases have been reported in the literature. We present a 10-year-old girl who was diagnosed having an intrinsic haemangioma of the median nerve and treated with total surgical resection of...

    journal_title:Microsurgery

    pub_type: 杂志文章,评审

    doi:10.1002/micr.20456

    authors: Vekris MD,Stafilas KS,Zacharis KX,Xenakis TA,Soucacos PN,Beris AE

    更新日期:2008-01-01 00:00:00

  • Technique of total hepatectomy in the rat.

    abstract::We report a novel one-stage technique of total hepatectomy in the rat, in which the liver is replaced by an autologous prosthesis. This prosthesis is obtained from a donor rat, and consists of the subhepatic vena cava and the left renal vein harvested en block. This graft is sutured with the subdiaphragmatic cava and ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920160711

    authors: Lorenzo M,Angrisani L,Ventriglia R,Ismail T,Tesauro B

    更新日期:1995-01-01 00:00:00

  • Radial forearm flap plus Flexor Carpi Radialis tendon in Achilles tendon reconstruction: Surgical technique, functional results, and gait analysis.

    abstract:BACKGROUND:Wound dehiscence, infection, and necrosis of tendon and overlying skin are severe complications after open repairs of Achilles tendon. A simultaneous reconstruction should be provided in a single stage operation. We evaluated the outcomes of one of the possible options: the radial forearm free flap with Flex...

    journal_title:Microsurgery

    pub_type: 临床试验,杂志文章

    doi:10.1002/micr.22481

    authors: Innocenti M,Tani M,Carulli C,Ghezzi S,Raspanti A,Menichini G

    更新日期:2015-11-01 00:00:00

  • Experimental laser-assisted end-to-side microvascular anastomosis.

    abstract::The authors present a new technique of end-to-side microvascular anastomosis in a rat carotid artery model, employing a milliwatt CO2 laser. Both carotid arteries were isolated and approximated in an end-to-side fashion by the placement of four 10-0 nylon stay sutures. The milliwatt CO2 laser was used to effect vessel...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920070206

    authors: Sartorius CJ,Shapiro SA,Campbell RL,Klatte EC,Clark SA

    更新日期:1986-01-01 00:00:00

  • Microsurgery for treatment of peripheral lymphedema: long-term outcome and future perspectives.

    abstract::Authors report over 30 years of their own clinical experience in the treatment of chronic peripheral lymphedemas by microsurgical techniques performed at the Center of Lymphatic Surgery of the University of Genoa, Italy. Over 1,500 lymphedema patients were treated with microsurgical techniques. Derivative lymphatic-ve...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20346

    authors: Campisi C,Eretta C,Pertile D,Da Rin E,Campisi C,Macciò A,Campisi M,Accogli S,Bellini C,Bonioli E,Boccardo F

    更新日期:2007-01-01 00:00:00

  • Eight years experience in crush and avulsion type finger amputation.

    abstract::Between July 1986 and July 1994, we studied 125 total finger amputations due to crush and avulsion type injuries at the Izmir Hand and Microsurgery Hospital. Of the 125 fingers replanted, 88 were successful, for a general survival rate of 70.4%. In the period between 1986 and 1991, we performed end-to-end anastomoses ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.1920161107

    authors: Ozerkan F,Ada S,Bora A,Kaplan I,Ademoglu Y

    更新日期:1995-01-01 00:00:00

  • Surgical treatment for total root avulsion type brachial plexus injuries by neurotization: a prospective comparison study between total and hemicontralateral C7 nerve root transfer.

    abstract:PURPOSE:We conducted a clinical study to evaluate the effects of neurotization, especially comparing the total contralateral C7 (CC7) root transfer to hemi-CC7 transfer, on total root avulsion brachial plexus injuries (BPI). METHODS:Forty patients who received neurotization for BPI were enrolled in this prospective st...

    journal_title:Microsurgery

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/micr.22148

    authors: Tu YK,Tsai YJ,Chang CH,Su FC,Hsiao CK,Tan JS

    更新日期:2014-02-01 00:00:00

  • Microsurgical skills training: a new concept for simulation of vessel-wall suturing.

    abstract::Initiation of training in basic microsurgical suturing technique usually involves placing sutures on incisions made on latex sheets, and then progressing to a live anastomosis in a rat model. A straight incision resembles a skin incision and does not mechanically simulate vessel wall suturing, and various modification...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.20074

    authors: Lahiri A,Lim AY,Qifen Z,Lim BH

    更新日期:2005-01-01 00:00:00

  • Effect of torsion on microarterial anastomosis patency.

    abstract::All kinds of technical faults must be prevented in microvascular anastomosis for successful reconstructive microsurgery. Torsion at the anastomosis site is one of the most basic technical errors. In this study, we investigate the effect of different degrees of microarterial torsion on patency and its physical changes ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10092

    authors: Topalan M,Bilgin SS,Ip WY,Chow SP

    更新日期:2003-01-01 00:00:00

  • Medial approach to the peroneal vessels as recipients for free flap reconstruction of the leg.

    abstract::The anatomic variation in the branching pattern of the popliteal vessel has been well-established. Little has been written in the literature regarding recipient vessel selection for microvascular reconstruction in the lower extremity as it pertains to aberrant vascular anatomy. We present the case of a 57-year-old mal...

    journal_title:Microsurgery

    pub_type:

    doi:10.1002/micr.30462

    authors: Elswick SM,Miglani A,Lettieri SC

    更新日期:2020-02-01 00:00:00

  • The role of the anterolateral thigh flap in complex defects of the scalp and cranium.

    abstract::In this study, we introduced scalp reconstruction using free anterolateral thigh (ALT) flaps and evaluated postoperative outcomes in nine patients between March 2000 and April 2012. Five patients had problems of exposed prosthesis, three required reconstruction after resection of scalp tumor and one patient presented ...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.22103

    authors: Lin PY,Miguel R,Chew KY,Kuo YR,Yang JC

    更新日期:2014-01-01 00:00:00

  • New model for simultaneous heart and kidney transplantation in mice.

    abstract::In clinical settings, combined heart and kidney transplantation results in a lower incidence of cardiac graft and renal graft rejection as compared to isolated heart and kidney transplantation. To study the phenomenon in an experimental setting, we developed a model of combined heart and kidney transplantation in mice...

    journal_title:Microsurgery

    pub_type: 杂志文章

    doi:10.1002/micr.10111

    authors: Wang M,Bai J,Baumann M,Heemann U

    更新日期:2003-01-01 00:00:00