Restoration of Function and Sensitivity Utilizing a homodigital Neurovascular Island Flap after Amputation Injuries of the Fingertip

Sixty-three fingertip amputations in 50 patients were reconstructed using a homodigital neurovascular island flap technique based on a single neurovascular pedicle without further shortening of the distal phalanx. The procedure was carried out under regional anaesthesia, using a tourniquet and magni...

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Bibliographic Details
Published in:Journal of hand surgery, British volume British volume, 2005-08, Vol.30 (4), p.338-342
Main Authors: Varitimidis, S.E., Dailiana, Z.H., Zibis, A.H., Hantes, M., Bargiotas, K., Malizos, K.N.
Format: Article
Language:English
Subjects:
Adolescent
Adult
Amputation, Traumatic - surgery
Child
Child, Preschool
Female
Finger Injuries - physiopathology
Finger Injuries - surgery
Fingers - physiopathology
fingertip injury
fingertip reconstruction
homodigital island flap
Humans
Male
Middle Aged
Recovery of Function
Sensation
Surgical Flaps - blood supply
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Summary:Sixty-three fingertip amputations in 50 patients were reconstructed using a homodigital neurovascular island flap technique based on a single neurovascular pedicle without further shortening of the distal phalanx. The procedure was carried out under regional anaesthesia, using a tourniquet and magnifying loupes. All of the flaps survived and achieved normal or adequate two-point discrimination without any painful scar or cold hypersensitivity. Fifteen patients had some loss of distal interphalangeal joint extension. The technique is simple and presents an excellent method for fingertip reconstruction in Allen type II, III and IV injuries.
ISSN:0266-7681
1532-2211
DOI:10.1016/j.jhsb.2005.04.014