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Loss injuries of the hand are a common trauma primarily encountered by outpatient surgeons on the front lines. The aim of this article is to systematically describe a thorough examination of the hand and the various options for reconstructing loss injuries of the hand, thereby creating an overview that can be utilized in practice. The article focuses on methods ranging from simple healing by secondary intention to basic techniques of flap reconstruction.
View Article and Find Full Text PDFComments on "Partial Second-Toe Pulp Free Flap for Fingertip Reconstruction: Experience and Surgical Tips to Minimize Complications".
Microsurgery
January 2025
Department of Plastic and Reconstructive Surgery, Institute of Hand and Microsurgery, Duson Hospital, Ansan, Republic of Korea.
Reconstruction of the finger pulp with palmar digital artery perforator propeller flap using a digital artery perforator at the lateral base of the finger pulp.
J Hand Microsurg
December 2024
Saitama Hand and Microsurgery Institute, Saitama Jikei Hospital, 3-208 Ishiwara, Kumagaya City, Saitama, 360-0816, Japan.
Purpose: The digital artery perforator (DAP) flap is used to repair finger pulp defects as it can help preserve the digital artery. The standard DAP flap donor site is dorsal or lateral; however, the color of the flap typically poorly matches that of the finger pulp. The purpose of this study is to report two types of novel palmar DAP flaps.
View Article and Find Full Text PDFFactors predicting composite grafts survivability in patients with fingertip amputations; a systematic review and meta-analysis.
J Orthop Surg Res
November 2024
Department of Plastic and Reconstructive Surgery, Faculty of Medicine For Girls, Al-Azhar University, Nasr City, Cairo, Egypt.
Background: Fingertip amputation is a commonly encountered injury in emergency settings. Composite grafting is a non-microsurgical alternative maintaining digit length with no donor site morbidities. This meta-analysis was conducted to retrieve factors associated with composite graft survivability among patients with fingertip amputations.
View Article and Find Full Text PDF"Flap-in-Flap" Technique: Double V-Y Flap in Fingertip Injury Management.
Indian J Plast Surg
October 2024
Department of Plastic and Reconstructive Surgery, Saveetha Medical College and Hospital, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Thandalam, Tamil Nadu, India.
Fingertip injuries with amputation are one of the common hand injury problems. Several reconstructive options are available for fingertip injury. V-Y advancement flap is one of the common flaps.
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