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Reconstruction of two fingertip amputations using a double thenar flap and comparison of outcomes of surgery using a single thenar flap.
- Source :
-
Injury [Injury] 2017 Feb; Vol. 48 (2), pp. 481-485. Date of Electronic Publication: 2016 Dec 28. - Publication Year :
- 2017
-
Abstract
- Background: Although thenar flap for single fingertip amputation is a common and popular surgical technique, double thenar flap technique for patients with two fingertip amputations has rarely been reported in the literature. The purpose of this case-control study was to introduce the double thenar technique and compare the clinical outcomes between single thenar flap and double thenar flap surgical treatments.<br />Methods: From January 2005 to December 2014, 92 patients with single fingertip amputations were treated with thenar flap (Group I) and 28 patients with two fingertip amputations were treated with double thenar flap (Group II). These 120 patients were followed-up for a minimum of 12 months postoperatively. At the latest follow-up, the two groups were assessed for pain, cold intolerance in the reconstructed finger, functional outcomes by Chen's criteria, and subjective patient satisfaction.<br />Results: At the final follow-up, all flaps in both groups had survived. No flap failure occurred. There was no significant difference in cold intolerance (p=0.783), donor site pain (p=0.728), fingertip pain (p=1.000), or paresthesia (p=0.514) between the two groups. A total of 100 (83.3%) patients were completely or fairly satisfied. There was no significant difference in satisfaction between the two groups (p=0.801). According to the Chen criteria, 102 (85%) patients had excellent or good results.<br />Conclusion: This study demonstrated that the double thenar flap technique used for patients with two fingertip amputations produced complete survival with functional outcomes comparable to those of the single thenar flap technique at the last follow-up.<br /> (Copyright © 2016 Elsevier Ltd. All rights reserved.)
- Subjects :
- Adolescent
Adult
Amputation, Traumatic physiopathology
Case-Control Studies
Female
Finger Injuries physiopathology
Fingers innervation
Follow-Up Studies
Humans
Male
Middle Aged
Patient Satisfaction
Republic of Korea epidemiology
Retrospective Studies
Treatment Outcome
Young Adult
Amputation, Traumatic surgery
Finger Injuries surgery
Fingers surgery
Plastic Surgery Procedures
Surgical Flaps
Subjects
Details
- Language :
- English
- ISSN :
- 1879-0267
- Volume :
- 48
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- Injury
- Publication Type :
- Academic Journal
- Accession number :
- 28057323
- Full Text :
- https://doi.org/10.1016/j.injury.2016.12.023