Document Detail


Hypothenar skin grafts for fingertip reconstruction.
MedLine Citation:
PMID:  6386957     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Full-thickness skin grafts from the hypothenar area were used to reconstruct 25 digits in a group of 20 patients. The results were evaluated objectively and subjectively at an average of 9.5 months after operation for sensibility, durability, and appearance. Eighty-six percent of the patients had two-point discrimination of 10 mm or less, with one half of them having two-point discrimination of less than 6 mm. All patients had good protective coverage and no ulcer formation. All patients could differentiate between coarse and smooth texture, although only one third had texture discrimination equal to that of normal digits. None of the patients complained of hypersensitivity. The donor site was cosmetically acceptable in all cases. The use of hypothenar full-thickness grafts provides an acceptable method for fingertip reconstruction, particularly in instances of palmar and lateral pulp loss in which there is insufficient tissue available for local advancement.
Authors:
R R Schenck; T A Cheema
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of hand surgery     Volume:  9     ISSN:  0363-5023     ISO Abbreviation:  J Hand Surg Am     Publication Date:  1984 Sep 
Date Detail:
Created Date:  1984-11-29     Completed Date:  1984-11-29     Revised Date:  2009-06-08    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  750-3     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Esthetics
Finger Injuries / surgery*
Follow-Up Studies
Hand
Humans
Sensation
Skin Transplantation*
Surgery, Plastic

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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