We clarify the claim to the authorship of the first description of the heterodigital neurovascular island flap, describe different variants and present a series of 15 cases with clinical examples.
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Analysis of thumb pulp reconstruction based on different local flaps: A systematic review.
J Hand Microsurg
October 2024
School of Medicine, Pontifical Catholic University of Rio Grande do Sul, PUCRS, Porto Alegre, Brazil.
Background: The reconstruction of the thumb's pulp is challenging when considering that there is no consensus on which local flap will provide better prognosis and less financial impact. The aim of this study was to analyze the outcomes of the most used flaps for the trauma to the volar substance of the thumb, validating the main indications.
Methods: This systematic review adhered to PRISMA guidelines and electronic searches were conducted in multiple databases (MEDLINE/PubMed, Virtual Health Library, Embase and Scopus) with studies published in the last ten years - until April 2022.
Comparison of Treatment Methods of Thumb-Tip Defects With Phalangeal Bone Exposure: Modified Heterodigital Neurovascular Island Flap Versus Free Lateral Great Toe Flap.
J Hand Surg Am
October 2024
Department of Hand and Foot Surgery, Clinical Medical College, Yangzhou University, Yangzhou, China. Electronic address:
Purpose: Modified heterodigital neurovascular island flaps and free lateral great toe flaps are dependable methods for treating thumb-tip defects with phalangeal bone exposure. We retrospectively analyzed and compared the details and results of the two methods.
Methods: This retrospective study included 25 patients with thumb injuries with phalangeal bone exposure treated between 2018 and 2021.
[Littlers Heterodigital Neurovascular Island Flap: Regarding the First Authorship and Our Own Experiences].
Handchir Mikrochir Plast Chir
February 2023
Klinik für Hand- und Plastische Chirurgie, Kantonsspital Luzern, Luzern, Switzerland.
We clarify the claim to the authorship of the first description of the heterodigital neurovascular island flap, describe different variants and present a series of 15 cases with clinical examples.
View Article and Find Full Text PDFComparison of Clinical Outcomes of Heterodigital Neurovascular Island Flap, Reverse Homodigital Neurovascular Island Flap, and Cross-Finger Flap Used for Fingertip Reconstruction.
Indian J Orthop
May 2022
Department of Orthopedics and Traumatology, Education and Research Hospital, Kayseri, Turkey.
Objective: The fundamentals of fingertip defect reconstructions should be mainly to restore the sensation with contour and identical pulp volume, and texture. To achieve these, various flap techniques were described in which those had their own advantages and disadvantages to restore the fingertip injuries. This study aimed to compare clinical outcomes of three different local flap procedures widely used for the reconstruction of fingertip defects: heterodigital neurovascular island (HeNI) flap, reverse homodigital neurovascular island (rHoNI) flap, and cross-finger (CF) flap.
View Article and Find Full Text PDFUtility of "reposition-flap" in the reconstruction of the avulsed thumb.
Medicine (Baltimore)
September 2021
University of Medicine and Pharmacy "Grigore T. Popa", Strada Universitxăţii 16, Iaşi, Romania.
Injuries that result in thumb amputation cause a loss of 50% of hand function. Microsurgical replantation remains the gold standard of thumb reconstruction techniques. The non-microsurgical technical variants of thumb reconstruction described so far aim to create a neo-thumb of adequate length, stable, opposable, sensitive, and last but not least esthetically pleasing appearance.
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