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The results of reconstruction of fingertip injuries using homodigital flap

Mehmet A. Acar, Yunus Guzel, Ali Gulec, Faik Turkmen, Omer F. Erkocak, Guney Yilmaz.


Abstract
Aim: To report our results of homodigital island flap reconstruction in the distal phalanx finger tip injuries.
Patients and Method: Forty-one homodigital island flaps of 30 male patients with defective injuries in the level of distal phalanx who were presented emergency department of Selcuk University Faculty of Medicine and reconstructed were evaluated retrospectively. Each patient was evaluated in terms of demographic data, flap survival rates, sensory return, the emergence of cold intolerance, range of movement values, return to work period and complications.
Results: Full primary flap survival was observed except for two partial flap necrosis and two superficial epidermolysis. After a six-month follow-up, mean static two-point discrimination value was found to be 10.2 mm (range: 8-12.1 mm) in 41 fingers treated with flap. The mean range of movement angles were determined as 107.40 (range, 90-110) at proximal interphalangeal joint and 61.95 (range, 0-90) at distal interphalangeal joint. Cold intolerance was not observed in any patient. The mean time of return to full-time professional activity was 7.2 weeks (range, 6-10 weeks). As for complications, 4 patients developed nail deformity and and 3 patients had a flexion contracture. No donor site complication was observed.
Conclusion: Because of easy implementation in a single session and high patient satisfaction with low donor site complications, homodigital island flap method is an effective surgical option in the treatment of fingertip defects.

Key words: Distal injuries, homodigital flaps, island flaps, multiple finger defects

 

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REFERENCES
1. Hoigné D, Hug U, Schürch M, Meoli M, von Wartburg U. Semi-occlusive dressing for the treatment of fingertip amputations with exposed bone: quantity and quality of soft-tissue regeneration. J Hand Surg Eur Vol 2013;39:505-509. [DOI via Crossref]    [Pubmed]   
2. Xu JH, et al. Linguiform rotation flap for amputations of the fingertip. Scand J Plast Reconstr Surg Hand Surg 2007;41:320–5. [DOI via Crossref]    [Pubmed]   
3. Liu Y, Jiao H, Ji X, Liu C, Zhong X, Zhang H, Ding X, Cao X. A comparative study of four types of free flaps from the ipsilateral extremity for finger reconstruction. PLoS One 2014;9:e104014. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
4. Stevenson TR. Fingertip and nailbed injuries. Orthop Clin North Am 1992; 23:149-59. [Pubmed]   
5. Lemmon JA, Janis JE, Rohrich RJ. Soft-tissue injuries of the fingertip: methods of evaluation and treatment. An algorithmic approach. Plast Reconstr Surg 2008;122:105e-117e. [DOI via Crossref]    [Pubmed]   
6. Acar MA, Güzel Y, Güleç A, Türkmen F, Erkoçak OF, Yýlmaz G. Reconstruction of multiple fingertip injuries with reverse flow homodigital flap. Injury 2014;45:1569-73. [DOI via Crossref]    [Pubmed]   
7. Crosby PM, Dellon AL. Comparison of two-point discrimination testing devices. Microsurgery 1989;10:134–7. [DOI via Crossref]   
8. Irwin MS, Gilbert SE, Terenghi G, Smith RW, Green CJ. Cold intolerance following peripheral nerve injury. Natural history and factors predicting severity of symptoms. J Hand Surg Br 1997;22:308-16. [DOI via Crossref]   
9. Dellon AL, Kallman CH. Evaluation of functional sensation in the hand. J Hand Surg Am 1983;8:865-70. [DOI via Crossref]   
10. Kutler W. A new method for fingertip amputations. JAMA 1947;133: 29-30. [DOI via Crossref]   
11. Atasoy E, Ioakimidis E, Kasdan ML, Kutz JE, Kleinert HE. Reconstruction of the amputated finger tip with a triangular volar flap. J Bone Joint Surg 1970;52A:921-6.
12. Martin C, del Pino JG. Controversies in the treatment of fingertip amputations. Clin Orthop 1998;353:63-73. [DOI via Crossref]   
13. Yildirim S, Avci G, Akan M, Aköz T. Complications of the reverse homodigital island flap in fingertip reconstruction. Ann Plast Surg 2002;48:586 –92. [DOI via Crossref]    [Pubmed]   
14. Venkataswami R, Subramanian N. Oblique triangular flap: a new method of repair for oblique amputations of the fingertip and thumb. Plast Reconstr Surg 1980;66:296 –300. [DOI via Crossref]   
15. Lai CS, Lin SD, Yan CC. The reverse digital artery flap for fingertip reconstruction. Ann Plast Surg 1989;22:495–500 [DOI via Crossref]    [Pubmed]   
16. Kojima T, Tsuchida Y, Hirase´ Y, Endo T. Reverse vascular pedicle digital island flap. Br J Plast Surg 1990;43:290 –5. [DOI via Crossref]   
17. Lai CS, Lin SD, Chou CK, Tsai CW. Innervated reverse digital artery flap through bilateral neurorrhaphy for pulp defects. Br J Plast Surg 1993;46:483– 8. [DOI via Crossref]   
18. Chen C, Tang P, Zhang X. The dorsal homodigital island flap based on the dorsal branch of the digital artery: a review of 166 cases. Plast Reconstr Surg 2014;133:519e-29e. [DOI via Crossref]    [Pubmed]   
19. Brun M, Freslon M, Champdavoine AL, Gayet LÉ. Functional results of homodigital pedicle island flaps for finger-pulp defects. Evaluation of 15 cases. Chir Main 2012;31:344-9. [DOI via Crossref]    [Pubmed]   
20. Kayalar M, Bal E, Toros T, Ozaksar K, Sügün ST, Ademoðlu Y. The results of reverse-flow island flaps in pulp reconstruction. Acta Orthop Traumatol Turc 2011;45:304-11. [Pubmed]   
21. Chen C, Tang P, Zhang X. Sensory reconstruction of a finger pulp defect using a dorsal homodigital island flap. Plast Reconstr Surg 2012;130: 1077- 86. [DOI via Crossref]    [Pubmed]   
22. Zhang Z, Yan BS, Wu XM, Tang JY, Zhao DS. Repair of finger pulp defect with the homodigital spiral neurovascular island flap. Hongguo Gu Shang 2011;24:422-4.
23. Hamdi MF. [Advancement fingertip homodi- gital neurovascular island flaps of long fingers. About 32 cases] [Article in French]. Chir Main 2011;30:105-9. [DOI via Crossref]    [Pubmed]   
24. Usami S, Kawahara S, Yamaguchi T, Hirase Y. Homodigital artery flap reconstruction for fingertip amputation: a comparative study of the oblique triangular neurovascular advancement flap and the reverse digital artery island flap. J Hand Surg Eur Vol 2013 Dec 3. [Epub ahead of print] [DOI via Crossref]    [Pubmed]   
25. Huang YC, Liu Y, Chen TH. Use of homodigital reverse island flaps for distal digital reconstruction. J Trauma 2010;68:429-33 [DOI via Crossref]    [Pubmed]   

How to Cite this Article
Pubmed Style

Acar MA, Guzel Y, Gulec A, Turkmen F, Erkocak OF, Yilmaz G. The results of reconstruction of fingertip injuries using homodigital flap. Hand Microsurg. 2014; 3(2): 39-46. doi:10.5455/handmicrosurg.171652


Web Style

Acar MA, Guzel Y, Gulec A, Turkmen F, Erkocak OF, Yilmaz G. The results of reconstruction of fingertip injuries using homodigital flap. http://handmicrosurgeryjournal.com/?mno=171652 [Access: June 25, 2018]. doi:10.5455/handmicrosurg.171652


AMA (American Medical Association) Style

Acar MA, Guzel Y, Gulec A, Turkmen F, Erkocak OF, Yilmaz G. The results of reconstruction of fingertip injuries using homodigital flap. Hand Microsurg. 2014; 3(2): 39-46. doi:10.5455/handmicrosurg.171652


Vancouver/ICMJE Style

Acar MA, Guzel Y, Gulec A, Turkmen F, Erkocak OF, Yilmaz G. The results of reconstruction of fingertip injuries using homodigital flap. Hand Microsurg. (2014), [cited June 25, 2018]; 3(2): 39-46. doi:10.5455/handmicrosurg.171652


Harvard Style

Acar, M. A., Guzel, Y., Gulec, A., Turkmen, F., Erkocak, O. F. & Yilmaz, G. (2014) The results of reconstruction of fingertip injuries using homodigital flap. Hand Microsurg, 3 (2), 39-46. doi:10.5455/handmicrosurg.171652


Turabian Style

Acar, Mehmet A., Yunus Guzel, Ali Gulec, Faik Turkmen, Omer F. Erkocak, and Guney Yilmaz. 2014. The results of reconstruction of fingertip injuries using homodigital flap. Hand and Microsurgery, 3 (2), 39-46. doi:10.5455/handmicrosurg.171652


Chicago Style

Acar, Mehmet A., Yunus Guzel, Ali Gulec, Faik Turkmen, Omer F. Erkocak, and Guney Yilmaz. “The results of reconstruction of fingertip injuries using homodigital flap.” Hand and Microsurgery 3 (2014), 39-46. doi:10.5455/handmicrosurg.171652


MLA (The Modern Language Association) Style

Acar, Mehmet A., Yunus Guzel, Ali Gulec, Faik Turkmen, Omer F. Erkocak, and Guney Yilmaz. “The results of reconstruction of fingertip injuries using homodigital flap.” Hand and Microsurgery 3.2 (2014), 39-46. Print. doi:10.5455/handmicrosurg.171652


APA (American Psychological Association) Style

Acar, M. A., Guzel, Y., Gulec, A., Turkmen, F., Erkocak, O. F. & Yilmaz, G. (2014) The results of reconstruction of fingertip injuries using homodigital flap. Hand and Microsurgery, 3 (2), 39-46. doi:10.5455/handmicrosurg.171652