Place of the reposition flap in the treatment of distal amputations of the fingers
Purpose: Distal finger amputations pose a therapeutic problem with the distal fragment quality. Reimplantation remains the reference treatment for functional and aesthetic recovery of the hand. The interest of this study is to propose the reposition flap as an alternative to different hedging techni...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2017-08-01
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| Series: | Chinese Journal of Traumatology |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1008127516302541 |
| _version_ | 1819132274775425024 |
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| author | Mohamed Ali Sbai Mayssa El M'chirgui Riadh Maalla Adel Khorbi |
| author_facet | Mohamed Ali Sbai Mayssa El M'chirgui Riadh Maalla Adel Khorbi |
| author_sort | Mohamed Ali Sbai |
| collection | DOAJ |
| description | Purpose: Distal finger amputations pose a therapeutic problem with the distal fragment quality. Reimplantation remains the reference treatment for functional and aesthetic recovery of the hand. The interest of this study is to propose the reposition flap as an alternative to different hedging techniques in the proximal stump, in many situations where revascularization is impossible. It consists in osteosynthesis of the bone fragment and its coverage by a pedicled local flap.
Methods: The technique of reposition flap was evaluated retrospectively between 2003 and 2016 through a study of 13 patients compiled in Nabeul orthopedic department. For each patient, the sensitivity, the pulp trophicity, the interphalangeal mobility, the digital length, the appearance of the nail and radiological consolidation were evaluated.
Results: The reposition flap keeps more than 80% of the length of p3. This procedure improves nail aesthetics in comparison with the regularizations. There is no significant difference in sensitivity of the pulp or of the mobility of the distal inter-phalangeal (DIP) joint as a function of the technique studied. However there is a significant difference in average test of the Quick Dash (350 against 500 for regularizations).
Conclusion: The reposition flap seems to be a good alternative to regularization in the context of trans-p3 fingers amputations, in which the distal fragment is not revascularizable. It allows better aesthetic and functional results. |
| first_indexed | 2024-12-22T09:28:48Z |
| format | Article |
| id | doaj.art-cb9fbd7cbfc9479babe0a6e24b95c270 |
| institution | Directory Open Access Journal |
| issn | 1008-1275 |
| language | English |
| last_indexed | 2024-12-22T09:28:48Z |
| publishDate | 2017-08-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Chinese Journal of Traumatology |
| spelling | doaj.art-cb9fbd7cbfc9479babe0a6e24b95c2702022-12-21T18:31:01ZengElsevierChinese Journal of Traumatology1008-12752017-08-0120419820110.1016/j.cjtee.2017.03.006Place of the reposition flap in the treatment of distal amputations of the fingersMohamed Ali Sbai0Mayssa El M'chirgui1Riadh Maalla2Adel Khorbi3Orthopedic Surgery and Trauma Department, Hospital Maamouri, Nabeul 8000, TunisiaOrthopedic Surgery and Trauma Department, Hospital Maamouri, Nabeul 8000, TunisiaPlastic Surgery Department, La Rabta Hospital, Tunis, TunisiaOrthopedic Surgery and Trauma Department, Hospital Maamouri, Nabeul 8000, TunisiaPurpose: Distal finger amputations pose a therapeutic problem with the distal fragment quality. Reimplantation remains the reference treatment for functional and aesthetic recovery of the hand. The interest of this study is to propose the reposition flap as an alternative to different hedging techniques in the proximal stump, in many situations where revascularization is impossible. It consists in osteosynthesis of the bone fragment and its coverage by a pedicled local flap. Methods: The technique of reposition flap was evaluated retrospectively between 2003 and 2016 through a study of 13 patients compiled in Nabeul orthopedic department. For each patient, the sensitivity, the pulp trophicity, the interphalangeal mobility, the digital length, the appearance of the nail and radiological consolidation were evaluated. Results: The reposition flap keeps more than 80% of the length of p3. This procedure improves nail aesthetics in comparison with the regularizations. There is no significant difference in sensitivity of the pulp or of the mobility of the distal inter-phalangeal (DIP) joint as a function of the technique studied. However there is a significant difference in average test of the Quick Dash (350 against 500 for regularizations). Conclusion: The reposition flap seems to be a good alternative to regularization in the context of trans-p3 fingers amputations, in which the distal fragment is not revascularizable. It allows better aesthetic and functional results.http://www.sciencedirect.com/science/article/pii/S1008127516302541AmputationFingersHandSurgical flaps |
| spellingShingle | Mohamed Ali Sbai Mayssa El M'chirgui Riadh Maalla Adel Khorbi Place of the reposition flap in the treatment of distal amputations of the fingers Chinese Journal of Traumatology Amputation Fingers Hand Surgical flaps |
| title | Place of the reposition flap in the treatment of distal amputations of the fingers |
| title_full | Place of the reposition flap in the treatment of distal amputations of the fingers |
| title_fullStr | Place of the reposition flap in the treatment of distal amputations of the fingers |
| title_full_unstemmed | Place of the reposition flap in the treatment of distal amputations of the fingers |
| title_short | Place of the reposition flap in the treatment of distal amputations of the fingers |
| title_sort | place of the reposition flap in the treatment of distal amputations of the fingers |
| topic | Amputation Fingers Hand Surgical flaps |
| url | http://www.sciencedirect.com/science/article/pii/S1008127516302541 |
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