| Extended applications of distally based axial adipofascial flaps for hand and digits defects. | |
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MedLine Citation:
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PMID: 20005789 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Reverse axial adipofascial flaps use subcutaneous tissue of the laterodigital and dorsal metacarpal or digital areas. They are sited on the arterial branches anastomosing the volar and dorsal arterial networks of the fingers. These flaps allow coverage of wide and distal defects. Metacarpal flaps were used for defects on the proximal phalanx, and digital flaps for the defects over the proximal interphalangeal joint (PIPj) and further distally of the thumb and fingers. A series of 18 cases is reviewed. Dissection of the flap is easy, fast and preserves the collateral nerve and artery of the finger. Skin defects were combined with bone, joint or tendon exposure. The flaps we used were reliable, and bone, joint and tendon reconstruction could be performed at the same time. Procedures were performed in an outpatient setting. Patients were allowed to mobilise the hand as early as possible. The results showed partial distal necrosis in one case and partial loss of the overlying skin graft in two cases, who resolved spontaneously. Donor-site morbidity was minimal. |
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Authors:
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D Camporro; D Vidal; D Robla |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-12-14 |
Journal Detail:
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Title: Journal of plastic, reconstructive & aesthetic surgery : JPRAS Volume: 63 ISSN: 1878-0539 ISO Abbreviation: J Plast Reconstr Aesthet Surg Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-11-24 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101264239 Medline TA: J Plast Reconstr Aesthet Surg Country: Netherlands |
Other Details:
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Languages: eng Pagination: 2117-22 Citation Subset: IM |
Copyright Information:
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Copyright © 2009 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved. |
Affiliation:
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Department of Plastic and Reconstructive Surgery, Central University Hospital of Asturias, Oviedo, Spain. dcamporro@arquired.es |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Arthrodesis / methods* Female Finger Injuries / radiography, surgery* Fractures, Bone / surgery Hand Injuries / surgery* Humans Male Middle Aged Orthopedic Procedures / methods* Splints Surgical Flaps* Young Adult |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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