Fingertip Reconstruction With Reverse Adipofascial Homodigital Flap

Basit Öğe Kaydı
dc.contributor.authorKarameşe, Mehtap
dc.contributor.authorAkatekin, Ahmet
dc.contributor.authorAbacı, Malik
dc.contributor.authorKoplay, Tuğba Gün
dc.contributor.authorTosun, Zekeriya
dc.date.accessioned2020-03-26T19:06:01Z
dc.date.available2020-03-26T19:06:01Z
dc.date.issued2015
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractDue to the importance of hand functions, fingertip injuries should be reconstructed by flap coverage. Although reverse homodigital island flap is an option that is widely used, the classical homodigital flap, which includes a skin graft for the donor site, leads to many donor-site problems such as maceration, and primary or secondary contraction. Reverse homodigital adipofascial flap (RHAF) has been chosen to prevent donor-site complications. To emphasize the efficacy of this flap, we report the outcome of 14 RHAFs, which were used for fingertip reconstruction following traumatic amputations. Materials and Methods From May 2010 to June 2012, 14 fingertip amputations were reconstructed with reverse adipofascial homodigital flap. Six months following surgery, the patients were evaluated with examination using 2-point discrimination, measurement of the range of motion of the proximal interphalangeal joint (PIP) and distal interphalangeal joint (DIP), pain [evaluated with the Visual Analogue Scale (VAS)], and the time to return to their previous activities. Results All flaps survived completely. Donor sites healed without any complication. Two-point discrimination was a mean of 4.86 +/- 0.95 mm. The range of motion of the PIP and DIP joints was similar to that of the contralateral finger. The VAS score was a mean of 0.9 (range 0-2). All patients returned to their previous occupations within 30 to 60 days (average 40 days). The operation did not impair functional and other activities. Conclusions Reverse adipofascial homodigital flaps maintain the perpetuation of digital length, volume of pulp, and service of finger function. The donor site on the lateral surface of the proximal phalanx can be primarily closed. For traumatic fingertip amputation, this flap delivers consistent aesthetic and functional results.en_US
dc.identifier.doi10.1097/SAP.0000000000000137en_US
dc.identifier.endpage162en_US
dc.identifier.issn0148-7043en_US
dc.identifier.issn1536-3708en_US
dc.identifier.issue2en_US
dc.identifier.pmid26165570en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage158en_US
dc.identifier.urihttps://dx.doi.org/10.1097/SAP.0000000000000137
dc.identifier.urihttps://hdl.handle.net/20.500.12395/32170
dc.identifier.volume75en_US
dc.identifier.wosWOS:000358416900008en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLIPPINCOTT WILLIAMS & WILKINSen_US
dc.relation.ispartofANNALS OF PLASTIC SURGERYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleFingertip Reconstruction With Reverse Adipofascial Homodigital Flapen_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu