Surgery in one region may be an ethical issue in other regions

Adani, Roberto

doi:10.1177/1753193421990306

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Dear Editor1

Soft Tissue Coverage For Finger Reconstruction1

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2021

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Cited by 2 publications

(2 citation statements)

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“…We never favoured nor used small free flaps for the digit-tip defect and consider it unnecessary. Adani (2020Adani ( , 2021 expressed this concern to a small free flap (Usami et al, 2020), and we agree. Complex surgery is not justified if simpler methods exist, and sensation rather than slightly shortening the bone is more important (Lam and Jordan, 2019;Tang, 2019).…”

Section: Dear Editormentioning

confidence: 64%

A survey of three surgical teams regarding past and present options for digital pulp restoration

Chen

Mao

Chen

2021

J Hand Surg Eur Vol

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Section: Dear Editormentioning

confidence: 64%

A survey of three surgical teams regarding past and present options for digital pulp restoration

Chen

Mao

Chen

2021

J Hand Surg Eur Vol

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“…The microsurgical skills achieved in Asian countries have pushed surgical reconstruction employing free flaps for fingertip defects to extremes which, sometimes, exceed sensible indications for minor pulp reconstruction (Adani, 2021).…”

Section: Soft Tissue Coverage For Finger Reconstructionmentioning

confidence: 99%

Soft and tissue repair of the hand and digital reconstruction

Adani

Tang

Elliot

2021

J Hand Surg Eur Vol

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This article summarizes the current views and proposed approaches to treating soft tissue defects of the hand. The article also outlines some key considerations of digital reconstruction. There are many options in treating soft tissue defects. For defects of the hand, local flaps are primarily considered if the defects are small or moderate in size. A vascularized free flap is only considered for a defect of large size (3 cm long or larger). Thumb reconstruction is of primary importance, while reconstruction of two fingers is necessary when all fingers are lost. Reconstructions of a missing distal part of a finger or reconstruction of an entire finger if only one finger is lost are cosmetic restorations; functionally these defects do not need reconstruction. Sensation is of great importance in repair or reconstruction of the tip of the thumb or finger. Therefore, sensory evaluation is a key factor in assessing and selecting the best options of surgery.

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Surgery in one region may be an ethical issue in other regions

Cited by 2 publications

References 11 publications

A survey of three surgical teams regarding past and present options for digital pulp restoration

A survey of three surgical teams regarding past and present options for digital pulp restoration

Soft and tissue repair of the hand and digital reconstruction

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