Reconstruction of multiple fingertip injuries with reverse flow homodigital flap

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dc.contributor.authorAcar, Mehmet A.
dc.contributor.authorGuzel, Yunus
dc.contributor.authorGulec, Ali
dc.contributor.authorTurkmen, Faik
dc.contributor.authorErkocak, Omer F.
dc.contributor.authorYilmaz, Guney
dc.date.accessioned2024-02-23T14:03:15Z
dc.date.available2024-02-23T14:03:15Z
dc.date.issued2014
dc.departmentNEÜen_US
dc.description.abstractAim: Hand trauma may lead to multiple fingertip defects, causing functional restrictions. We evaluated the use of reverse-flow homodigital flap reconstruction of the distal phalanx and pulp defects associated with multiple finger injuries. Methods: We retrospectively evaluated 11 male patients who presented at our emergency department (January 2011-March 2013) with multiple fingertip injuries and who were treated with a reverse-flow homodigital flap. Evaluations included age, sex, defect size, flap survival rate, complications, cold intolerance, two-point discrimination, range of motion (ROM), quick disabilities of the arm, shoulder, and hand (DASH) score, and return to work time. Results: Completely, 22 reverse-flow homodigital flaps were applied to at least two fingertip injuries at the distal phalanx. Ten flaps survived postoperatively. The exception was partial flap loss on one finger. The mean follow-up was 14.2 months. At the final follow-up, the mean static two-point discrimination value was 10.3 mm. Mean ROMs of interphalangeal joints were 65.31 degrees (distal) and 105.77 degrees (proximal). Donor sites were covered with full-thickness skin grafts from the wrist or antecubital area. There were no complications related to the donor site and no development of cold intolerance in any finger. The mean quick DASH score was 4.12. All patients returned to work in an average of 8.3 weeks. Conclusions: The reconstruction of multiple fingertip injuries with reverse-flow homodigital flaps is a safe, effective method that can be combined with other local finger flaps. These flaps can be applied to two consecutive fingers without reducing finger length or function. (C) 2014 Elsevier Ltd. All rights reserved.en_US
dc.identifier.doi10.1016/j.injury.2014.06.009
dc.identifier.endpage1573en_US
dc.identifier.issn0020-1383
dc.identifier.issn1879-0267
dc.identifier.issue10en_US
dc.identifier.pmid25037528en_US
dc.identifier.scopus2-s2.0-84922542321en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1569en_US
dc.identifier.urihttps://doi.org/10.1016/j.injury.2014.06.009
dc.identifier.urihttps://hdl.handle.net/20.500.12452/12040
dc.identifier.volume45en_US
dc.identifier.wosWOS:000341483400011en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherElsevier Sci Ltden_US
dc.relation.ispartofInjury-International Journal Of The Care Of The Injureden_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectDistal Injuriesen_US
dc.subjectHomodigital Flapsen_US
dc.subjectIsland Flapsen_US
dc.subjectMultiple Finger Defectsen_US
dc.titleReconstruction of multiple fingertip injuries with reverse flow homodigital flapen_US
dc.typeArticleen_US

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