Patient satisfaction after innervated digital artery perforator flap for fingertip injuries

Abstract

Relationship between the tilt angle of bipolar radial head prostheses and radiological radiocapitellar instability

Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options

“…Ayhan et al. 39 recently described their series of IDAP flaps similar to the Ozcanli technique with 17 flaps for palmar oblique or transverse fingertip amputations. Gulec et al.…”

“… 8 The blood flow is provided by the anterograde flow from the dorsal branches at the level of DIPJ (two to three perforators) but includes proper neurovascular bundle dissected within the flap. Therefore, we have excluded data from these articles; 39 , 40 however, anatomical and surgical description will certainly add to understanding of DAP flaps. Volar DAP flaps: …”

“…The majority of the reports on pedicled DAP flaps for digital tip defects are for the fingers, but many authors have also used it for thumb tip defects. 13 , 14 , 20 , 33 , 39 Indications were mostly traumatic defects, but they have also been applied for other defects including after benign 12 , 28 and malignant 17 , 19 tumour resections and revision of painful amputation stumps. 15 The flaps are not suitable for large defects.…”

“…It has also been found that patient satisfaction is not always dependent on sensory recovery. 39 Using univariate and multivariate logistic regression analyses, Ayhan et al found that sensory recovery was a less important factor for patient satisfaction than cold intolerance that adversely affected patient-reported outcomes. 39 …”

“… 0 2019 Appukuttan et al 29 DAP Unilateral V-Y advancement flap - lateral perforator 10 (6M:4F) / 10 26.5 (1- 52) 9 crush, 1 sharp 3 IF, 3MF, 4LF 14 to 80 mm 2 10 DAP Unilateral V-Y 3-4 mm (7 pts) 3 (1-8) 7 satisfied, 1 not (nail contour) All survived. 2020 Qin et al 21 Modified dorsolateral proximal phalangeal island flaps 16(14M:2F) / 16 48.8 (30-57) 16 crush, 3 sharp, 8 avulsions 7 IF, 8 MF, 10 RF, 2 LF 15 × 13 to 27 × 20 16 MDPP DIPJ 74.8 +/- 6.2 8.0 +/- 1 8.7 (5 -12) MHQ 85 +/- 3.7 6.3 +/- 1.2 wks 13 full survival, 2 transient venous congestion, 1 partial distal loss due to congestion 0 Homodigital dorsal DAP flaps 11 (9M:2F) / 11 49.3 (39-58) 18 × 14 to 25 × 20 11 Dorsal DAP DIPJ 75 +/- 4.6 8.5 +/-1.3 8.4 (6-13) MHQ 85.9 +/- 3 6.5 +/- 1.1 wks 9 survived fully, 2 venous congestion with flap survival 2020 Ayhan et al 39 (IDAP flap) island flap as per Ozcanli technique – lateral perforators 15(14M:1F) 17/21 47.2+/-12.9 (26-62) 3 saw, 14 crush 17 IDAP DIPJ 77.3+/- 3.5 (70-80) 2.83- 4.93 6.4 (3- 10) 13.8 (7-18) 9 satisfied, 8 Highly satisfied 22.5 (15-30) Days All survived, Superficial necrosis 3 (2 patients) healed secondarily with dressings 0 2020 Dionyssiou et al 22 DADAP- adipofacial with SSG (rotation advancement) (dorsal defect + exten...…”