Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings
Aim: Numerous flaps have been described for the reconstruction of complicated defects of the fingertip. The aim of this study was to evaluate our experience on flaps that can be used in emergency settings, and analyze the outcomes of these procedures. Materials and Methods: A retrospective analysis...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2019-01-01
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| Series: | Turkish Journal of Plastic Surgery |
| Subjects: | |
| Online Access: | http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2019;volume=27;issue=1;spage=14;epage=18;aulast=Mutlu |
| _version_ | 1818493037697826816 |
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| author | Ozay Ozkaya Mutlu Ozlem Colak Ahmet Dilber Derya Bingol Onur Egemen |
| author_facet | Ozay Ozkaya Mutlu Ozlem Colak Ahmet Dilber Derya Bingol Onur Egemen |
| author_sort | Ozay Ozkaya Mutlu |
| collection | DOAJ |
| description | Aim: Numerous flaps have been described for the reconstruction of complicated defects of the fingertip. The aim of this study was to evaluate our experience on flaps that can be used in emergency settings, and analyze the outcomes of these procedures. Materials and Methods: A retrospective analysis of 81 patients, who presented to the emergency unit with complicated fingertip defects between 2009 and 2014 and in whom replantation was deemed unsuitable due to various reasons including crush or avulsion type of injury mechanism, absence of the amputated part, or unrepairable vascular injury in the amputate, was carried out. Results: Eighty-nine flaps were performed in 81 patients. The defects were repaired with V-Y advancement flaps in 57% (45 patients – 51 fingers) of the defects, kite flap in 15% (13 patients – 13 fingers), cross-finger flap in 12% (11 patients – 11 fingers), Kutler flap in 6% (4 patients – 5 fingers), digital artery perforator flap in 6% (4 patients – 5 fingers), and thenar flap in 4% (4 patients – 4 fingers) of the injuries. One patient operated with the digital artery perforator flap, and one other operated with the kite flap, developed partial flap necroses. There were no other complications. Conclusion: Functional and esthetic restoration of soft tissues in the fingers is possible with the use of appropriate flaps and meticulous surgical technique. |
| first_indexed | 2024-12-10T17:50:00Z |
| format | Article |
| id | doaj.art-edc99a99585f47f394f9060b81236151 |
| institution | Directory Open Access Journal |
| issn | 1300-6878 2528-8644 |
| language | English |
| last_indexed | 2024-12-10T17:50:00Z |
| publishDate | 2019-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Turkish Journal of Plastic Surgery |
| spelling | doaj.art-edc99a99585f47f394f9060b812361512022-12-22T01:39:06ZengWolters Kluwer Medknow PublicationsTurkish Journal of Plastic Surgery1300-68782528-86442019-01-01271141810.4103/tjps.tjps_43_18Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settingsOzay Ozkaya MutluOzlem ColakAhmet DilberDerya BingolOnur EgemenAim: Numerous flaps have been described for the reconstruction of complicated defects of the fingertip. The aim of this study was to evaluate our experience on flaps that can be used in emergency settings, and analyze the outcomes of these procedures. Materials and Methods: A retrospective analysis of 81 patients, who presented to the emergency unit with complicated fingertip defects between 2009 and 2014 and in whom replantation was deemed unsuitable due to various reasons including crush or avulsion type of injury mechanism, absence of the amputated part, or unrepairable vascular injury in the amputate, was carried out. Results: Eighty-nine flaps were performed in 81 patients. The defects were repaired with V-Y advancement flaps in 57% (45 patients – 51 fingers) of the defects, kite flap in 15% (13 patients – 13 fingers), cross-finger flap in 12% (11 patients – 11 fingers), Kutler flap in 6% (4 patients – 5 fingers), digital artery perforator flap in 6% (4 patients – 5 fingers), and thenar flap in 4% (4 patients – 4 fingers) of the injuries. One patient operated with the digital artery perforator flap, and one other operated with the kite flap, developed partial flap necroses. There were no other complications. Conclusion: Functional and esthetic restoration of soft tissues in the fingers is possible with the use of appropriate flaps and meticulous surgical technique.http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2019;volume=27;issue=1;spage=14;epage=18;aulast=MutluComplicated defectfingertipflappartial necrosis |
| spellingShingle | Ozay Ozkaya Mutlu Ozlem Colak Ahmet Dilber Derya Bingol Onur Egemen Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings Turkish Journal of Plastic Surgery Complicated defect fingertip flap partial necrosis |
| title | Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| title_full | Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| title_fullStr | Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| title_full_unstemmed | Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| title_short | Complicated fingertip defects: Clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| title_sort | complicated fingertip defects clinical approach to their reconstruction and the flaps that can be used in emergency settings |
| topic | Complicated defect fingertip flap partial necrosis |
| url | http://www.turkjplastsurg.org/article.asp?issn=1300-6878;year=2019;volume=27;issue=1;spage=14;epage=18;aulast=Mutlu |
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