Scopus
YÖKSİS Eşleşti
Comparison of Innervated Digital Artery Perforator Flap Versus Homodigital Reverse Flow Flap Techniques for Fingertip Reconstruction
Journal of Hand Surgery · Eylül 2019
YÖKSİS Kayıtları
Comparison of Innervated Digital Artery Perforator Flap Versus Homodigital Reverse Flow Flap Techniques for Fingertip Reconstruction
The Journal of Hand Surgery · 2019 SCI-Expanded
DOÇENT ALİ ÖZDEMİR →
Comparison of Innervated Digital Artery Perforator Flap Versus Homodigital Reverse Flow Flap Techniques for Fingertip Reconstruction
The Journal of Hand Surgery · 2018 SSCI
DOÇENT ALİ GÜLEÇ →
Comparison of Innervated Digital Artery Perforator Flap Versus Homodigital Reverse Flow Flap Techniques for Fingertip Reconstruction
The Journal of Hand Surgery · 2019 SCI-Expanded
DOÇENT FATİH DURGUT →
Makale Bilgileri
DergiJournal of Hand Surgery
Yayın TarihiEylül 2019
Cilt / Sayfa44 · 801.e1-801.e6
Scopus ID2-s2.0-85058819544
Özet
Purpose: The aim of this study was to investigate and compare outcomes of 2 different flap techniques for fingertip reconstruction: innervated digital artery perforator (IDAP) flap and homodigital reverse-flow flap. Methods: Medical records of 33 patients who underwent fingertip reconstruction either with an IDAP flap (15 patients) or with a homodigital reverse-flow flap (18 patients), between 2014 and 2016, were evaluated retrospectively. In both study groups, full-thickness skin grafts harvested from the proximal/volar side of the forearm were used to cover the flap donor site. Flap survival, venous congestion, cold intolerance, static 2-point discrimination, flap size, duration of surgery, time to return to work, proximal and distal interphalangeal joint range of motion, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time were evaluated. Results: All the major outcomes, including flap survival, cold intolerance, static 2-point discrimination, flap size, time to return to work, range of motion values for proximal and distal interphalangeal joints, Disability of the Arm, Shoulder, and Hand questionnaire scores, and follow-up time, were similar between the 2 flap methods. Mean duration of surgery was shorter in the IDAP flap group. Marginal flap necrosis occurred in 1 IDAP flap, and there was complete survival of the remainder of the flap after debridement. Temporary venous congestion was seen in 3 IDAP flaps, all of which resolved with nonsurgical measures. Conclusions: Similar success rates and satisfactory outcomes were achieved with IDAP flap and reverse-flow flap techniques used for fingertip reconstruction. Type of study/level of evidence: Therapeutic IV.
Yazarlar (5)
1
Ali Güleç
ORCID: 0000-0001-8265-825X
2
Ali Özdemir
ORCID: 0000-0002-8835-9741
3
Fatih Durgut
ORCID: 0000-0001-5782-4842
4
Ahmet Yıldırım
5
Mehmet Ali Acar
Anahtar Kelimeler
Finger injury
fingertip reconstruction
flap survival
homodigital reverse-flow flap
innervated digital artery perforator flap
Kurumlar
Selçuk Üniversitesi
Selçuklu Turkey
Metrikler
27
Atıf
5
Yazar
5
Anahtar Kelime