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Enhancement of palmar advancement flap: A simple modification

Oguz Kayiran, Ercan Cihandide.

Cited by (1)

Abstract
Background: Distal fingertip amputations with exposed bone is challenging for the surgeon to manage. In order to reconstruct a good sensate pulp with appropriate closure, various flaps are advocated in the literature. Of these, palmar advancement flap, first described by Moberg in 1964, comprises one of the most popular options.
Methods: Thirteen patients (11 male, 3 female) with fingertip injuries were operated. Following the elevation of Moberg flap, proposed modifications were carried out. Joint mobility and pulp sensitivity were recorded as well and advancement scores were noted before and after the modification. These scores were assessed statistically.
Results: No complications were noted and there was no need for additional surgery. Excellent joint mobility and pulp sensitivity were maintained. This modification showed a statistically significant improvement in the advancement (p<0.05).
Conclusions: Moberg flap is a good option for the closure of fingertip defects. Some simple modifications, as described in here, can enhance the advancement while securing the entire advantages of the flap.

Key words: Enhancement, Moberg flap, modification

 

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How to Cite this Article
Pubmed Style

Kayiran O, Cihandide E. Enhancement of palmar advancement flap: A simple modification. Hand Microsurg. 2014; 3(2): 33-38. doi:10.5455/handmicrosurg.163944


Web Style

Kayiran O, Cihandide E. Enhancement of palmar advancement flap: A simple modification. http://handmicrosurgeryjournal.com/?mno=163944 [Access: January 22, 2018]. doi:10.5455/handmicrosurg.163944


AMA (American Medical Association) Style

Kayiran O, Cihandide E. Enhancement of palmar advancement flap: A simple modification. Hand Microsurg. 2014; 3(2): 33-38. doi:10.5455/handmicrosurg.163944


Vancouver/ICMJE Style

Kayiran O, Cihandide E. Enhancement of palmar advancement flap: A simple modification. Hand Microsurg. (2014), [cited January 22, 2018]; 3(2): 33-38. doi:10.5455/handmicrosurg.163944


Harvard Style

Kayiran, O. & Cihandide, E. (2014) Enhancement of palmar advancement flap: A simple modification. Hand Microsurg, 3 (2), 33-38. doi:10.5455/handmicrosurg.163944


Turabian Style

Kayiran, Oguz, and Ercan Cihandide. 2014. Enhancement of palmar advancement flap: A simple modification. Hand and Microsurgery, 3 (2), 33-38. doi:10.5455/handmicrosurg.163944


Chicago Style

Kayiran, Oguz, and Ercan Cihandide. “Enhancement of palmar advancement flap: A simple modification.” Hand and Microsurgery 3 (2014), 33-38. doi:10.5455/handmicrosurg.163944


MLA (The Modern Language Association) Style

Kayiran, Oguz, and Ercan Cihandide. “Enhancement of palmar advancement flap: A simple modification.” Hand and Microsurgery 3.2 (2014), 33-38. Print. doi:10.5455/handmicrosurg.163944


APA (American Psychological Association) Style

Kayiran, O. & Cihandide, E. (2014) Enhancement of palmar advancement flap: A simple modification. Hand and Microsurgery, 3 (2), 33-38. doi:10.5455/handmicrosurg.163944