Purpose: Distal finger amputations pose a therapeutic problem with the distal fragment quality. Reimplantation remains the reference treatment for functional and aesthetic recovery of the hand. The interest of this study is to propose the reposition flap as an alternative to different hedging techniques in the proximal stump, in many situations where revascularization is impossible. It consists in osteosynthesis of the bone fragment and its coverage by a pedicled local flap.
Methods: The technique of reposition flap was evaluated retrospectively between 2003 and 2016 through a study of 13 patients compiled in Nabeul orthopedic department. For each patient, the sensitivity, the pulp trophicity, the interphalangeal mobility, the digital length, the appearance of the nail and radiological consolidation were evaluated.
Results: The reposition flap keeps more than 80% of the length of p3. This procedure improves nail aesthetics in comparison with the regularizations. There is no significant difference in sensitivity of the pulp or of the mobility of the distal inter-phalangeal (DIP) joint as a function of the technique studied. However there is a significant difference in average test of the Quick Dash (350 against 500 for regularizations).
Conclusion: The reposition flap seems to be a good alternative to regularization in the context of trans-p3 fingers amputations, in which the distal fragment is not revascularizable. It allows better aesthetic and functional results.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5555274 | PMC |
| http://dx.doi.org/10.1016/j.cjtee.2017.03.006 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Novel triangle papilla access approach for interdental bone defect regeneration: A case study.
Clin Adv Periodontics
January 2025
Department of Dentistry and Oral Surgery, Keio University School of Medicine, Tokyo, Japan.
Background: Successful periodontal regeneration depends on primary wound closure and interdental papilla preservation. In this case study, we introduce a novel triangle papilla access approach (T-PAA) performed under a surgical microscope for treating interdental bone defects. In this novel approach, buccal incisions were used to access root surfaces and bone defects, avoiding interdental papilla incisions and preventing papillary collapse and necrosis.
View Article and Find Full Text PDF[The application of full-thickness advancement flap of upper abdominal wall in breast-conserving surgery for lower quadrant breast cancer].
Zhonghua Wai Ke Za Zhi
January 2025
Breast Center, Beijing Tongren Hospital, Capital Medical University, Beijing100176, China.
To explore the application of full-thickness advancement flap of upper abdominal wall in breast-conserving surgery for lower quadrant breast cancer. This is a retrospective case series study. The clinic data of 25 lower quadrant breast cancer patients who underwent a breast-conserving surgery with advancement flap of full-thickness of upper abdominal wall at the Breast Center, Beijing Tongren Hospital, Capital Medical University, from June 2022 to September 2023 were analyzed retrospectively.
View Article and Find Full Text PDFReduction of ischemic time using the pull-through technique for scapular free flap.
Oral Maxillofac Surg
January 2025
Department of Maxillofacial Surgery, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan.
Purpose: Current scapular free flap (SFF) harvest in mandibular reconstruction often requires repositioning, hindering simultaneous harvest and resection and potentially increasing ischemic time. This study evaluated the efficacy of the pull-through technique (PTT) for SFF harvest, aiming to reduce ischemic time during mandibular segmental resection.
Methods: A retrospective analysis was conducted on 24 patients who underwent mandibular reconstruction using SFF at two maxillofacial surgery departments between January 2015 and May 2022.
Comparative evaluation of coronally advanced flap and semilunar coronally repositioned flap, using platelet-rich fibrin in Miller's Class I recession defects: A randomized clinical trial.
J Indian Soc Periodontol
December 2024
Department of Periodontology, Rajendra Institute of Medical Sciences, Ranchi, Jharkhand, India.
Background: For a periodontist, treating recession is always a proud moment and a challenging task. The current trial aimed at comparing and clinically evaluating semilunar coronally repositioned flap (SCRF) and coronally advanced flap (CAF) procedures combined with platelet-rich fibrin (PRF) in the management of Miller's Class I recession defects.
Materials And Methods: Thirty-six recession sites were randomly divided into the CAF or SCRF groups.
Penile Reconstruction with Radial Forearm Free Flap-Present State of the Art.
Indian J Plast Surg
December 2024
Department of Plastic and Reconstructive Surgery, Amrita Hospital, Faridabad, Haryana, India.
Article Synopsis
- Patients with penile defects, whether congenital or acquired, experience significant psychological distress, and the free radial artery forearm flap method has emerged as a preferred technique for reconstruction.
- A retrospective study over 16 years reviewed various cases, modifying the initial design to enhance urethral function and stability in the procedure.
- Results indicated that most patients regained sensation and could urinate standing; however, some experienced complications, and aesthetic outcomes varied, highlighting the technique's potential for effective rehabilitation.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!