Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part
Background First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults. Methods Between 2004 and 2008, we treated 10 pati...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical Publishers, Inc.
2012-07-01
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| Series: | Archives of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.4.404 |
| _version_ | 1817994867215695872 |
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| author | Mi Sun Jung Young Kook Lim Yong Taek Hong Hoon Nam Kim |
| author_facet | Mi Sun Jung Young Kook Lim Yong Taek Hong Hoon Nam Kim |
| author_sort | Mi Sun Jung |
| collection | DOAJ |
| description | Background First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults.
Methods Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crush or avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmar pocketing method following a composite graft in these patients and prepared the pocket in the subcutaneous layer of the ipsilateral palm.
Results Of a total of 10 cases, nine had complete survival of the replantation and one had 20% partial necrosis. All of the cases were managed to conserve the fingernails, which led to acceptable cosmetic results.
Conclusions A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results. |
| first_indexed | 2024-04-14T01:57:46Z |
| format | Article |
| id | doaj.art-18a018429de64d6a98354e412c344325 |
| institution | Directory Open Access Journal |
| issn | 2234-6163 2234-6171 |
| language | English |
| last_indexed | 2024-04-14T01:57:46Z |
| publishDate | 2012-07-01 |
| publisher | Thieme Medical Publishers, Inc. |
| record_format | Article |
| series | Archives of Plastic Surgery |
| spelling | doaj.art-18a018429de64d6a98354e412c3443252022-12-22T02:18:56ZengThieme Medical Publishers, Inc.Archives of Plastic Surgery2234-61632234-61712012-07-01390440441010.5999/aps.2012.39.4.404Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated PartMi Sun Jung0Young Kook Lim1Yong Taek Hong2Hoon Nam Kim3Department of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, KoreaDepartment of Plastic and Reconstructive Surgery, Daegu Fatima Hospital, Daegu, KoreaBackground First suggested by Brent in 1979, the pocket principle is an alternative method for patients for whom a microsurgical replantation is not feasible. We report the successful results of a modified palmar pocket method in adults. Methods Between 2004 and 2008, we treated 10 patients by nonmicrosurgical replantation using palmar pocketing. All patients were adults who sustained a complete fingertip amputation from the tip to lunula in a digits. In all of these patients, the amputation occurred due to a crush or avulsion-type injury, and a microsurgical replantation was not feasible. We used the palmar pocketing method following a composite graft in these patients and prepared the pocket in the subcutaneous layer of the ipsilateral palm. Results Of a total of 10 cases, nine had complete survival of the replantation and one had 20% partial necrosis. All of the cases were managed to conserve the fingernails, which led to acceptable cosmetic results. Conclusions A composite graft and palmar pocketing in adult cases of fingertip injury constitute a simple, reliable operation for digital amputation extending from the tip to the lunula. These methods had satisfactory results.http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.4.404amputationfingerreplantation |
| spellingShingle | Mi Sun Jung Young Kook Lim Yong Taek Hong Hoon Nam Kim Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part Archives of Plastic Surgery amputation finger replantation |
| title | Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part |
| title_full | Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part |
| title_fullStr | Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part |
| title_full_unstemmed | Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part |
| title_short | Treatment of Fingertip Amputation in Adults by Palmar Pocketing of the Amputated Part |
| title_sort | treatment of fingertip amputation in adults by palmar pocketing of the amputated part |
| topic | amputation finger replantation |
| url | http://www.thieme-connect.de/DOI/DOI?10.5999/aps.2012.39.4.404 |
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