Document Detail

Reconstruction of Distally Degloved Fingers With a Cross-Finger Flap and a Composite-Free Flap From the Dorsum of the Second Toe.
MedLine Citation:
PMID:  22119599     Owner:  NLM     Status:  Publisher    
PURPOSE: In this article, we report the reconstruction of degloved fingers using a combination of a cross-finger flap and a composite-free flap from the dorsal aspect of the second toe. METHODS: From May 2006 until April 2009, we treated 18 degloved fingers in 18 patients (13 males and 5 females; mean age, 22 years) using the technique. There were 11 index and 7 ring fingers. The mean volar and dorsal defects were 2.5 × 1.9 cm and 2.7 × 2 cm, respectively. The cross-finger flaps ranged in size from 2.3 × 1.6 cm to 3.5 × 2.6 cm, with a mean of 2.8 × 2.3 cm. The flaps from the dorsal second toe ranged in size from 2.4 × 2.1 cm to 4.5 × 2.3 cm, with a mean of 3.0 × 2.2 cm. At follow-up, we assessed motion and sensation. RESULTS: All cross-finger and free flaps survived. At final follow-up (mean, 17 months; range, 14-25 months), motion in the injured fingers averaged 102° and 28° at the proximal and distal interphalangeal joints, respectively. The mean static 2-point discrimination of the reconstructed finger pulps was 5 mm (range, 4-7 mm). CONCLUSIONS: The combination of a cross-finger flap and a composite-free flap from the dorsum of the second toe is a useful and reliable technique for reconstruction of a degloved finger. TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.
Bin Wang; Xu Zhang; Wenping Jiang; Tiepeng Ma; Hao Li; Hui Wang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2011-11-23
Journal Detail:
Title:  The Journal of hand surgery     Volume:  -     ISSN:  1531-6564     ISO Abbreviation:  -     Publication Date:  2011 Nov 
Date Detail:
Created Date:  2011-11-28     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7609631     Medline TA:  J Hand Surg Am     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2011 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Hand Surgery Department, Second Hospital of Tangshan, Tangshan, Hebei, China; and the Hand Surgery Department, Second Hospital of Qinhuangdao, Changli, Qinhuangdao, Hebei, China.
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