Archives of Plastic Surgery

  • 제39권6호
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  • Pages.637-642
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  • 2012
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  • 2234-6163(pISSN)
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  • 2234-6171(eISSN)
대한성형외과학회 (Korean Society of Plastic and Reconstructive Surgeons)
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Innervated Cross-Finger Pulp Flap for Reconstruction of the Fingertip

  • Lee, Nae-Ho (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School) ;
  • Pae, Woo-Sik (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School) ;
  • Roh, Si-Gyun (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School) ;
  • Oh, Kwang-Jin (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School) ;
  • Bae, Chung-Sang (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School) ;
  • Yang, Kyung-Moo (Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School)
  • 투고 : 2012.08.26
  • 심사 : 2012.09.27
  • 발행 : 2012.11.15
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초록

Background Fingertip injuries involving subtotal or total loss of the digital pulp are common types of hand injuries and require reconstruction that is able to provide stable padding and sensory recovery. There are various techniques used for reconstruction of fingertip injuries, but the most effective method is functionally and aesthetically controversial. Despite some disadvantages, cross-finger pulp flap is a relatively simple procedure without significant complications or requiring special techniques. Methods This study included 90 patients with fingertip defects who underwent cross-finger pulp flap between September 1998 and March 2010. In 69 cases, neurorrhaphy was performed between the pulp branch from the proper digital nerve and the recipient's sensory nerve for good sensibility of the injured fingertip. In order to evaluate the outcome of our surgical method, we observed two-point discrimination in the early (3 months) and late (12 to 40 months) postoperative periods. Results Most of the cases had cosmetically and functionally acceptable outcomes. The average defect size was $1.7{\times}1.5$ cm. Sensory return began 3 months after flap application. The two-point discrimination was measured at 4.6 mm (range, 3 to 6 mm) in our method and 7.2 mm (range, 4 to 9 mm) in non-innervated cross-finger pulp flaps. Conclusions The innervated cross-finger pulp flap is a safe and reliable procedure for lateral oblique, volar oblique, and transverse fingertip amputations. Our procedure is simple to perform under local anesthesia, and is able to provide both mechanical stability and sensory recovery. We recommend this method for reconstruction of fingertip injuries.

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참고문헌

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피인용 문헌

  1. Clinical Application of Adipose Stem Cells in Plastic Surgery vol.29, pp.4, 2014, https://doi.org/10.3346/jkms.2014.29.4.462
  2. Reconstruction of the Traumatized Thumb vol.134, pp.6, 2012, https://doi.org/10.1097/prs.0000000000000716
  3. Macrosurgery for fingertip amputations vol.9, pp.suppl3, 2012, https://doi.org/10.1186/1753-6561-9-s3-a58
  4. Full-Thickness Skin Grafting with De-Epithelization of the Wound Margin for Finger Defects with Bone or Tendon Exposure vol.42, pp.3, 2012, https://doi.org/10.5999/aps.2015.42.3.334
  5. Modified anterograde pedicle advancement flap in fingertip injury vol.40, pp.9, 2012, https://doi.org/10.1177/1753193414552649
  6. A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps vol.40, pp.2, 2012, https://doi.org/10.1007/s00266-016-0624-y
  7. Thumb Tip Defect Reconstruction Using Neurovascular Island Pedicle Flap Obtained From Long Finger vol.40, pp.5, 2016, https://doi.org/10.1007/s00266-016-0674-1
  8. Free toe pulp flap for finger pulp and volar defect reconstruction vol.49, pp.2, 2016, https://doi.org/10.4103/0970-0358.191319
  9. Time of return back to work and complications following cross-finger flaps in industrial workers: Comparison between immediate post operative mobilization versus immobilization until flap division vol.42, pp.None, 2018, https://doi.org/10.1016/j.ijscr.2017.11.048
  10. Nail bed and flap reconstructions for acute fingertip injuries - A case review and report of a chemical burn injury vol.27, pp.2, 2012, https://doi.org/10.1177/2309499019839278
  11. Reconstruction of Finger Pulp Defects With an Innervated Distally-Based Neurovascular Flap vol.45, pp.5, 2012, https://doi.org/10.1016/j.jhsa.2019.10.018
  12. The cross‐toe flap: An alternative method for reconstruction of digital pulp defects vol.34, pp.1, 2012, https://doi.org/10.1111/dth.14577
  13. Treatment of volar defects of the finger using dorsal digital–metacarpal flap versus free medial plantar artery flap: a comparative study vol.21, pp.1, 2012, https://doi.org/10.1186/s12893-020-00994-3