Thenar Flap Rehabilitated: A Review of 20 Cases

Barbato, B.; Guelmi, K.; Romano, S.; Mitz, V.; Lemerle, J

doi:10.1097/00000637-199608000-00003

Cited by 19 publications

(12 citation statements)

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“…Similarly, a study of Barbato et al. 10 reported statics 2-PD was 6.5 mm in their series of 20 patients. Results in this study were comparable to both the above studies.…”

Section: Discussionmentioning

confidence: 64%

Finger pulp reconstruction with thenar flap: Aesthetic and functional outcome

Sahu

Kala

Dixit

et al. 2020

Chinese Journal of Traumatology

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Purpose Fingertip injuries are common in industrial production activities as well as in domestic work. Loss of pulp hampers daily life activities. Functional and aesthetic aspects are important in fingertip reconstruction. The bone is usually exposed along with soft tissue loss. Therefore to reconstruct the pulp flap with adequate bulk is required. Methods We reported a case series of 12 patients with the injury over the volar aspect of distal phalanx of the index or middle finger. In all cases, laterally based thenar flap was chosen. The flap donor site was closed primarily in most of cases, while 4 patients required skin graft. The flap was detached between 2–3 weeks. Functional assessment was done using static and dynamic 2-point discrimination and range of motion at each joint. The aesthetic outcome was assessed through questionnaire. The results were analyzed using the unpaired t -test (SPSS version 21). Results Partial necrosis occurred in 2 cases while rest of flaps survived successfully. Static 2-point discrimination ranged from 6–10 mm, mean 8.6 mm; and dynamic 2-point discrimination ranged from 8–10 mm, mean 8.9 mm. The mean satisfaction score was (4.0 ± 0.55). Conclusion Thenar flap is a good choice for reconstruction of the finger pulp as it provides the bulk with good functional and aesthetic outcome.

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“…Similarly, a study of Barbato et al. 10 reported statics 2-PD was 6.5 mm in their series of 20 patients. Results in this study were comparable to both the above studies.…”

Section: Discussionmentioning

confidence: 64%

Finger pulp reconstruction with thenar flap: Aesthetic and functional outcome

Sahu

Kala

Dixit

et al. 2020

Chinese Journal of Traumatology

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“…Like local skin flaps, they are associated with a certain rate of failure and other complications such as infection, joint stiffness, hyperesthesia, or poor sensation [18, 35, 37, 38, 44, 46–55]. …”

Section: Discussionmentioning

confidence: 99%

“…The primary application of flaps is hence detrimental to both the ultimate length of the nail and sensation of the finger. No primary procedure, except possibly replantation, has conclusively been shown to prevent nail deformities [19, 30, 31, 38, 41, 46, 59, 60, 62]. …”

Section: Discussionmentioning

confidence: 99%

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Digital Tip Amputations from the Perspective of the Nail

Champagne

Hustedt

Walker

et al. 2016

Advances in Orthopedics

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The management strategy proposed herein for fingertip amputations advocates secondary healing with preservation of appearance as well as function. Conservative healing is more likely to result in a sensate, nontender, and cosmetically acceptable fingertip compared to surgical management in many clinical scenarios. This manuscript examines in detail the extent of fingertip injury and defines the relationship of injury to final fingertip outcome. A classification is presented, which allows adequate initial counseling regarding prognosis, and predicts the need for secondary corrective surgery.

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“…14 For small skin defects, it seems that even without neurorrhaphy, the pedicled thenar has high possibilities to recover spontaneous reinnervation better than cross-finger flaps, with values reported from 3 to 10 mm in most cases. 8 This is supposed to be a consequence of the higher presence of sensory receptors in the thenar area. Kamei et al 12,13 and Omokawa et al 14 suggested the inclusion of sensory branches either from the superficial radial nerve or antecubital sensory nerve for sensory recover.…”

Section: Discussionmentioning

confidence: 99%