Reconstruction of Thumb Pulp Defects Using a Modified Kite Flap

Xu, Wen; Shao, Xinzhong; Ren, Chunzhen; Zhang, Zhijie; Wen, Sumin; Sun, Jiayuan

doi:10.1016/j.jhsa.2011.06.033

Cited by 38 publications

(29 citation statements)

References 24 publications

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“…Zhang et al 6 reported partial flap necrosis in two out of 42 thumbs; they also report experiencing some degree of venous congestion that did not require surgery, but they did not specify how many flaps or how severe the degree of congestion was.…”

Section: Discussionmentioning

confidence: 99%

The Holevich Flap Revisited: A Comparison With the Foucher Flap, Case Series

Couceiro

Sanmartín

2014

Hand Surg.

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The first dorsal metacarpal artery flap was initially described by Hilgenfeldt, it was designed as a racquet flap by Holevich and modified as an island flap by Foucher and Braun. The objective of the present is to compare the Holevich flap and the Foucher flap in terms of venous congestion and flap necrosis. From 2009 to 2013, ten first dorsal metacarpal artery flaps were performed at our hospital's hand unit. Five of the flaps were Holevich type flaps and five of the flaps were Foucher flaps. There were seven men and three women. The mean age was 47 years for the Foucher flap group (17-67 years), and 48 years for the Holevich flap group (36-61 years). Strength, static two tips discrimination, ranges of motion, satisfaction, cold intolerance, pain, flap congestion and flap necrosis were recorded for both groups. Similar values of strength, pain, range of motion and two tips discrimination were found on both groups. There was a higher incidence of flap congestion and necrosis on the Foucher flap group (two thumbs underwent partial flap necrosis and two underwent venous congestion in three patients). There was also a higher incidence of cold intolerance in the Foucher group (two patients exhibited moderate cold intolerance and one exhibited a severe cold intolerance). A proper statistical analysis was not possible due to the size of the case series. In this small case series the Holevich exhibited less flap necrosis, less venous congestion, and less incidence of cold intolerance than the Foucher flap.

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Section: Discussionmentioning

confidence: 99%

The Holevich Flap Revisited: A Comparison With the Foucher Flap, Case Series

Couceiro

Sanmartín

2014

Hand Surg.

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“…However, few degrees of loss were observed in the IP joints in the injured thumbs compared with the contralateral thumbs. A previous study demonstrated 17 that this finding may be related to the combined injuries, including phalangeal fracture, joint injury, and tendon injury, than to the flap procedure.…”

Section: Discussionmentioning

confidence: 73%

Reverse Dorsoradial Flaps for Thumb Coverage Show Increased Sensory Recovery with Smaller Flap Sizes

Sun

Chen

et al. 2015

J reconstr Microsurg

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“…30 Recently, some authors have reported an improved sensation recovery with nerve suture than that without nerve suture for reverse-flow volar island flap 31 and modified kite flap. 32 However, to the best of our knowledge, Moschella's and our studies are the only two reports focusing on the sensibility recovery of thumb dorsoradial flap, and the information regarding this flap is still limited. In our study, the short period of follow-up (mean, 8.5 months) and the limited number of cases may be the reason that we failed to demonstrate a significantly better result with neurorrhaphy.…”

Section: Discussionmentioning

confidence: 75%