Archives of Plastic Surgery

  • 제52권3호
  • /
  • Pages.145-152
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  • 2025
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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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Comparison of Sensory Recovery between Random Pattern Flap and Axial Pattern Flap in Finger Defect Reconstruction

  • Tien Duc Nguyen (Department of Cosmetic Plastic Surgery, Faculty of Medicine, University of Medicine and Pharmacy at Ho Chi Minh City) ;
  • Thanh Dinh Trinh (Department of Surgery, Haiphong University of Medicine and Pharmacy) ;
  • Thuong Van Pham (Department of Surgery, Haiphong University of Medicine and Pharmacy)
  • 투고 : 2023.11.08
  • 심사 : 2025.01.17
  • 발행 : 2025.05.15
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초록

Background This study aimed to investigate the association between the use of different flaps, including random and axial pattern flaps, and sensory recovery following finger soft tissue reconstruction using local pedicle flaps. Methods A longitudinal study was conducted on 115 patients with 130 finger soft tissue defects treated with local pedicle flaps between December 2016 and December 2020. Assessments were made at early postsurgery (119 flaps), 3 months postsurgery (110 soft tissue defects), and 6 months postsurgery (94 soft tissue defects). Sensory recovery outcomes were compared between soft tissue defects reconstructed using random and axial pattern flaps. Results In the early postsurgery period, there was a significantly higher prevalence of a static sense of two-point discrimination (s2PD) ≤6 mm among fingers with random pattern flaps (96.2%) than among fingers with axial pattern flaps (64.5%). The probability of s2PD ≤6 mm at the donor and recipient sites with the direct flap was 75.5% and 25.5%, respectively, which was significantly higher than that with the reversed flap. After 6 months, there was a significant difference in sensory recovery compared to that at 3 months postsurgery but not between different flap types. Conclusion Sensory recovery after reconstruction was observed with all flap types, and better sensory recovery can be achieved in a shorter time postsurgery using random pattern flaps.

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과제정보

The authors would like to express our thankfulness to all the participants who participated in this study, all the doctors, nurses, and medical staff working at Saint Paul General Hospital, Hanoi, Vietnam, for their wonderful job.

참고문헌

  1. Loréa P, Chahidi N, Marchesi S, Ezzedine R, Marin Braun F, Dury M. Reconstruction of fingertip defects with the neurovascular tranquilli-leali flap. J Hand Surg [Br] 2006;31(03):280–284 https://doi.org/10.1016/J.JHSB.2005.11.007
  2. Lee NH, Pae WS, Roh SG, Oh KJ, Bae CS, Yang KM. Innervated cross-finger pulp flap for reconstruction of the fingertip. Arch Plast Surg 2012;39(06):637–642 https://doi.org/10.5999/aps.2012.39.6.637
  3. Rehim SA, Chung KC. Local flaps of the hand. Hand Clin 2014;30(02):137–151, v https://doi.org/10.1016/j.hcl.2013.12.004
  4. Morrison EJ, Morrison WAJ. Basic skin flaps and blood supply. Plast Reconstr Surg 2015;(Mar):12–21 https://doi.org/10.1002/9781118655412.ch2
  5. Etzkorn JR, Zito PM, Hohman MH, Council M. Advancement flaps. Coloproctology 2025;43(01):38–45
  6. Saber AY, Hohman MH, Dreyer MA. Basic Flap Design. StatPearls Publishing; 2024
  7. Ruijs ACJ, Jaquet JB, Kalmijn S, Giele H, Hovius SER. Median and ulnar nerve injuries: a meta-analysis of predictors of motor and sensory recovery after modern microsurgical nerve repair. Plast Reconstr Surg 2005;116(02):484–494, discussion 495–496 https://doi.org/10.1097/01.prs.0000172896.86594.07
  8. He B, Zhu Z, Zhu Q, et al. Factors predicting sensory and motor recovery after the repair of upper limb peripheral nerve injuries. Neural Regen Res 2014;9(06):661–672 https://doi.org/10.4103/1673-5374.130094
  9. Sungur N, Kankaya Y, Yıldız K, Dölen UC, Koçer U. Bilateral V-Y rotation advancement flap for fingertip amputations. Hand (N Y) 2012;7(01):79–85 https://doi.org/10.1007/s11552-011-9389-6
  10. Aboulwafa A, Emara S. Versatility of homodigital islandized lateral V-Y flap for reconstruction of fingertips and amputation stumps. Plast Reconstr Surg 2013;37(01):89–96
  11. Chen C, Zhang W, Tang P. Direct and reversed dorsal digito-metacarpal flaps: a review of 24 cases. Injury 2014;45(04):805–812 https://doi.org/10.1016/j.injury.2013.11.002
  12. Hirasé Y, Kojima T, Matsuura S. A versatile one-stage neurovascular flap for fingertip reconstruction: the dorsal middle phalangeal finger flap. Plast Reconstr Surg 1992;90(06):1009–1015 https://doi.org/10.1097/00006534-199212000-00012
  13. Han SK, Lee BI, Kim WK. The reverse digital artery island flap: an update. Plast Reconstr Surg 2004;113(06):1753–1755 https://doi.org/10.1097/01.PRS.0000117298.52225.43
  14. Usami S, Kawahara S, Yamaguchi Y, Hirase T. Homodigital artery flap reconstruction for fingertip amputation: a comparative study of the oblique triangular neurovascular advancement flap and the reverse digital artery island flap. J Hand Surg Eur Vol 2015;40(03):291–297 https://doi.org/10.1177/1753193413515134
  15. Kim SW, Jung SN, SohnWI, Kwon H,Moon SH. Ulnar artery perforator free flap for finger resurfacing. Ann Plast Surg 2013;71(01):72–75 https://doi.org/10.1097/SAP.0b013e31824681cc
  16. Vizcay M, Pajardi GE, Zanchetta F, Stucchi S, Baez A, Troisi L. Tailored skin flaps for hand reconstruction. Plast Reconstr Surg Glob Open 2022;10(09):e4538 https://doi.org/10.1097/GOX.0000000000004538
  17. Koepple C, Kallenberger AK, Pollmann L, et al. Comparison of fasciocutaneous and muscle-based free flaps for soft tissue reconstruction of the upper extremity. Plast Reconstr Surg Glob Open 2019;7(12):e2543 https://doi.org/10.1097/GOX.0000000000002543