Super Kutler flap: an alternative technique for reconstruction of fingertip defects

Arpaci, Enver; Ünlü, Ramazan Erkin; Altun, Serdar; Ertaş, Nilgün

doi:10.1177/1753193416686884

Cited by 11 publications

(5 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Night extension splinting can be used to try and counteract any flexion contractures that may develop. 3,12 Hook nail deformities may occur when the distal margin of the flap is inset too tightly, sewn into the nail matrix, or the pulp is reconstructed without adequate nail matrix. 50 Although numerous studies noted an incidence of the complication (25 cases in total), it was rarely identified as a concerning issue to patients.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Efficacy of Antegrade Homodigital Neurovascular Island Flaps in Distal Fingertip Reconstruction: A Systematic Literature Review

Castillo

Tiedgen

et al. 2022

Hand (New York, N,Y.)

View full text Add to dashboard Cite

Background: Antegrade homodigital neurovascular island flaps (AHIFs) are a heterogeneous group of pedicled flaps used for reconstruction of traumatic digital detipping injuries. While numerous single-center studies have documented their use, there are no large or multicentre studies validating their efficacy, applicability, and functional outcomes. We performed a systematic review of the contemporary literature to establish the safety and functional outcomes of this technique. Methods: Electronic searches were performed using PubMED, Embase, and MEDLINE from inception date to October 2020, with further studies identified from study reference lists and independent searches. Relevant studies reported on complications and functional outcomes of the AHIFs, as used for digital detipping injuries. Data were then extracted and analyzed. Results: Twenty-seven studies published between 1974 and 2019 yielded 744 patients. Four studies provided incomplete epidemiologic data, resulting in a total of 559 patients with 584 digital injuries. Index and middle fingers were most frequently involved. Mean final 2-point discrimination (2-PD) was 4.9 mm static and 5.1 mm dynamic, with dynamic 2-PD reported in 2 studies. Mean total active motion of the digit was 200.3°. Mean time to return to work was 6.7 weeks in 10 studies. Flap survivorship was found to be 99.6% in 23 studies. Cold intolerance was the most common complication at 18%, followed by pain and hypersensitivity. Conclusions: Antegrade homodigital neurovascular island flaps provide a safe and effective method of treating distal finger amputations, yielding satisfactory functional outcomes across all ages. Further studies comparing outcomes between the AHIFs and other reconstructive modalities would be useful.

show abstract

Section: Discussionmentioning

confidence: 99%

“…Night extension splinting can be used to try and counteract any flexion contractures that may develop. 3,12…”

Section: Discussionmentioning

confidence: 99%

The Efficacy of Antegrade Homodigital Neurovascular Island Flaps in Distal Fingertip Reconstruction: A Systematic Literature Review

Castillo

Tiedgen

et al. 2022

Hand (New York, N,Y.)

View full text Add to dashboard Cite

show abstract

“…The one most commonly used is an advancement flap designed on one or two digital arteries and the digital nerves, such as Segmuller, extended Segmuller, Mouchet-Gilbert, and Venkataswami flaps (Adani et al., 1997; Tang et al., 2014). These flaps cover an area larger than the Atasoy and Kulter flaps and their variants (Arpaci et al., 2017; Tang et al., 2014) and are more useful for defects larger than 1–1.5 cm. These flaps are an extension of the Atasoy flap (a local V-Y advancement flap, covering a defect of or around 1 cm); they are designed for a larger tissue defect.…”

Section: The Commonly Used Flaps For a Distal Defect Of A Moderate Sizementioning

confidence: 99%

Fingertip repair methods: choices for different fingers and sides emphasizing sensation

Tang

2019

J Hand Surg Eur Vol

View full text Add to dashboard Cite

“…Functionally a flap transfer without sensation is not as good as conservative treatment with moist antiseptic dressings. Sensate flaps are preferred in fingertip or thumb tips when flaps are used (Adani and Woo, 2017; Arpaci et al., 2017; Tang et al., 2014; Vitse et al., 2017). However, harvesting a flap would always cause donor site damage.…”

Section: Future Perspectivesmentioning

confidence: 99%

Repair of soft tissue defects in finger, thumb and forearm: less invasive methods with similar outcomes

Elliot

Adani²,

Woo³

et al. 2018

J Hand Surg Eur Vol

View full text Add to dashboard Cite

We review recent developments in using occlusive dressings, dermal templates, and venous flaps for less invasive approaches to treat soft tissue defects of the forearm and fingers. Occlusive dressings can be used for thumb tip or fingertip trauma with soft tissue defects of small or moderate sizes. They permit skin regeneration without use of skin graft or a flap transfer. This is currently a popular way to treat tip soft tissue defects in European countries. Extensive soft tissue defects in the thumb, fingers, hand and forearm require flap transfers traditionally, but in recent years, surgeons use dermal templates to cover the defect site to allow regeneration of subcutaneous tissues, over which a skin graft is used in lieu of a flap. Transfer of a venous flap is currently a reliable procedure and is less invasive compared with conventional flaps, which usually damage a named artery in the donor. We advocate that less invasive methods should be considered for soft tissue defects in the hand and forearm.

show abstract

Super Kutler flap: an alternative technique for reconstruction of fingertip defects

Abstract: IV.

Cited by 11 publications

References 29 publications

The Efficacy of Antegrade Homodigital Neurovascular Island Flaps in Distal Fingertip Reconstruction: A Systematic Literature Review

The Efficacy of Antegrade Homodigital Neurovascular Island Flaps in Distal Fingertip Reconstruction: A Systematic Literature Review

Fingertip repair methods: choices for different fingers and sides emphasizing sensation

Repair of soft tissue defects in finger, thumb and forearm: less invasive methods with similar outcomes

Contact Info

Product

Resources

About