Digital Pulp Reconstruction with Free Neurovascular Toe Flaps

Yan, Hede; Ouyang, Yuanming; Chi, Zhenglin; Gao, Weiyang; Zhang, Feng; Fan, Cunyi

doi:10.1007/s00266-012-9949-3

Cited by 20 publications

(12 citation statements)

References 41 publications

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“…The toe pulp is considered to be the most suitable for finger pulp and volar defect reconstruction due to its tissue match. [ 2 ] The improvement in microsurgical techniques nowadays makes this option very viable for the finger reconstruction. The advantages of the free pulp transfer are the tissue match and the sensory recovery when compared to the other local options.…”

Section: Introductionmentioning

confidence: 99%

Free toe pulp flap for finger pulp and volar defect reconstruction

Balan¹

2016

Indian J Plast Surg

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Background:Fingertip injury requiring flap cover is very common in the modern era. The ideal cover should fulfill both functional and aesthetic improvement.Materials and Methods:From June 2015 to April 2016, we performed seven free toe pulp flaps for finger defect reconstruction. All patients were males. Five flaps were done in emergency post-traumatic cases, and two were done in elective set up. The cases included reconstruction of three thumbs, one index and one ring finger in an emergency set up and two ring fingers in the elective. Thumb reconstruction was done with great toe lateral pulp and the other digits reconstructed with second toe pulp flap. Follow-up evaluation included both functional and aesthetic assessment.Results:Five flaps survived completely, one suffered partial loss, and one flap failed completely. The median follow-up period was 9 months. The median duration of surgery was 255 min (range 210 to 300 min). The median two-point discrimination was 6.5 mm (range 4–8 mm). There was the return of temperature sensation in all patients; two had cold intolerance. The Semmes-Weinstein monofilament score varied from 3.61 to 5.07 (median filament index value 4.31/pressure value of 2 g/mm2). Three patients had delayed donor site wound healing.Conclusions:The free toe pulp flap is an efficient choice for fingertip and volar finger defects reconstruction with an excellent tissue match.

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Section: Introductionmentioning

confidence: 99%

Free toe pulp flap for finger pulp and volar defect reconstruction

Balan¹

2016

Indian J Plast Surg

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“…In sum, the MPAF and the DDMF are available for reconstruction of the volar surface of the nger. Irrespective of the technical requirements, DDMF, it is a single-stage procedure and has a wide arc of ap transposition, thus preventing the need of a free ap [25]. MPAF is an ideal donor site and can resolve the nerve defects.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study

Liu¹,

Guo²,

Qu³

et al. 2020

Preprint

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Background Few cases are reported on the treatment of defects on the volar surface of the finger, and its utility for digital resurfacing remains unclear. This study compared the outcomes of the free medial plantar artery flap (MPAF) and dorsal digital–metacarpal flap (DDMF) in finger reconstruction. Methods This cohort study was conducted on 24 patients who had soft-tissue defects on the volar side of the finger from March 2014 to March 2017. The patients were divided into the following 2 groups: the MPAF group and the DDMF group. The operative time as well as complications, including flap necrosis, graft loss, infection, paresthesia, donor-site morbidity, and two-point discrimination (2-PD) were carefully recorded. The Michigan Hand Outcomes Questionnaire (MHQ) was applied to conduct follow-up assessment. Results After more than 12 months of follow-up, the results were significant. In terms of overall function, MPAF was superior to DDMF (p < 0.005). Conclusion The MPAF and the DDMF are available and reliable for reconstruction of the volar surface of the finger; however, the MPAF offers better functional outcomes with a lower frequency of postoperative complications.

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“…Both MPAF and the DDMF are available for reconstruction of the volar surface of the nger. Irrespective of its technical requirements, DDMF is a single-stage procedure and has a wide arc of ap transposition, which prevents the need of a free ap [34]. MPAF is an ideal donor site and can resolve nerve defects.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Volar Defects of the Finger using Dorsal Digital–metacarpal Flap Versus Free Medial Plantar Artery Flap: A Comparative Study

Liu

Guo

et al. 2020

Preprint

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Background: The treatment of defects on the volar surface of the finger has been scarcely reported, and its utility for digital resurfacing remains unclear. This study compared the outcomes of free medial plantar artery flap (MPAF) and dorsal digital–metacarpal flap (DDMF) in finger reconstruction.Methods: This retrospective cohort study included 24 patients with soft-tissue defects on the volar surface of the finger from March 2014 to March 2017. The patients were divided into two groups: the MPAF group and the DDMF group. The operation time, complications, such as flap necrosis, graft loss, infection, paresthesia, and donor-site morbidity, as well as two-point discrimination (2-PD) were carefully recorded. The Michigan Hand Outcomes Questionnaire was used for conduct follow-up assessment.Results: After more than 12 months of follow-up, the MPAF group had a longer operative time compared with DDMF group, but there was no significant difference in postoperative complications and the results (2-PD and Modified VSS score) were significant. In terms of overall function, MPAF was superior to DDMF (p < 0.005).Conclusion: MPAF and DDMF are reliable for reconstruction of the volar surface of the finger; however, MPAF offers better functional outcomes and is associated with a lower incidence of postoperative complications.

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Digital Pulp Reconstruction with Free Neurovascular Toe Flaps

Abstract: This journal requires that authors assign a level of evidence to each article.

Cited by 20 publications

References 41 publications

Free toe pulp flap for finger pulp and volar defect reconstruction

Free toe pulp flap for finger pulp and volar defect reconstruction

Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study

Treatment of Volar Defects of the Finger using Dorsal Digital–metacarpal Flap Versus Free Medial Plantar Artery Flap: A Comparative Study

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