Distal Finger Reconstruction by Bilateral Lateral Hallux Osteo-onychocutaneous Free Flap
Rattachement africain : cn, us, tw. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
OBJECTIVE: In this report, we present our experience on the use of bilateral lateral hallux osteo-onychocutaneous free flaps for reconstruction of distal finger and the aesthetic and functional results of this technique in a series of cases. PATIENTS AND METHODS: From February 2005 to May 2015, 7 patients underwent finger reconstruction distal to the distal interphalangeal joint using the bilateral lateral hallux osteo-onychocutaneous free flaps. The mean age was 29.3 years (range, 24-33 years). The lateral hallux osteo-onychocutaneous flaps were harvested from bilateral donor sites. The size of each flap was designed based on the size of half distal finger defect. The lateral hallux osteo-onychocutaneous free flaps from both donor sites were combined to reconstruct the distal finger. More than 50% of hallux nail was preserved in each of donor sites, which was covered with a local flap. RESULTS: All flaps used for reconstruction survived without complications after surgery. The average length of follow-up was 93.4 months (range, 16-163 months). All reconstructed distal fingers showed good aesthetic appearance, except one that underwent a secondary debulking procedure. The average total active motion of the finger was 215.7 degrees (range, 200-230 degrees). Neither pain nor numbness sensation in the reconstructed fingers was complained by the patients. The donor site morbidity was minimal. All patients had pain-free and good function outcome in both feet. CONCLUSIONS: The use of the bilateral lateral hallux osteo-onychocutaneous free flaps may provide an option for distal finger reconstruction with satisfactory function and anesthetic outcomes with minimal hallux donor site morbidity.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Distal Finger Reconstruction by Bilateral Lateral Hallux Osteo-onychocutaneous Free Flap
- Date Crossref
- 01/03/2019
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Shandong University Department of Hand and Foot Surgery pays non établi dans la noticeUniversité ou école supérieure
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Shandong Provincial Hospital pays non établi dans la noticeÉtablissement de santé
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Shanghai Jiao Tong University pays non établi dans la noticeUniversité ou école supérieure
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Shanghai Ninth People's Hospital pays non établi dans la noticeÉtablissement de santé
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Jackson Memorial Hospital pays non établi dans la noticeÉtablissement de santé
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China Medical University pays non établi dans la noticeUniversité ou école supérieure
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China Medical University Hospital pays non établi dans la noticeÉtablissement de santé
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College of Stomatology Department of Plastic surgery pays non établi dans la noticeUniversité ou école supérieure
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JMS Burn and Reconstruction Center pays non établi dans la noticeInstitution
Department of Hand and Foot Surgery — Shandong University, Shandong Provincial Hospital et Shanghai Jiao Tong University, avec 6 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.