Resurfacing the Degloved Thumb Up to the Interphalangeal Joint Level with Twin Extended Neurovascular Island Flaps

2006 ◽  
Vol 31 (5) ◽  
pp. 562-565 ◽  
Author(s):  
P. KITIDUMRONGSOOK ◽  
A. PATRADUL ◽  
K. PATARADOOL
Keyword(s):  
Interphalangeal Joint ◽  
Cold Intolerance ◽  
Joint Level ◽  
The Third ◽  
Neurovascular Pedicle

We report a method of resurfacing the degloved thumb from the base of the thumb up to the interphalangeal joint level using two neurovascular island flaps from the adjacent sides of the long and the ring fingers, nourished by the third common neurovascular pedicle. This twin flap was used successfully in seven patients. The reconstruction gave adequate static two-point discrimination of 10 mm at 6 weeks without complaints of neuroma pain, painful scars or cold intolerance.

Spontaneous Thrombosis of Palmar Digital Veins

1996 ◽  
Vol 21 (3) ◽  
pp. 410-412 ◽  
Author(s):  
M. LANZETTA ◽  
W. A. MORRISON
Keyword(s):  
Surgical Excision ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Spontaneous Thrombosis ◽  
Joint Level ◽  
Palmar Surface ◽  
History Of

Five cases of spontaneous thrombosis of a palmar digital vein are presented. The patients, all female, complained of a tender and unsightly lump over the digital palmar surface at the proximal interphalangeal joint level. Two fingers were affected in one patient. None could recall any history of trauma. In four cases a surgical excision was carried out. Histology confirmed the intraoperative findings of thrombosis of a superficial digital vein in every case. All patients are free from recurrence at a mean follow-up of 2.5 years.

Reconstruction of finger pulp defects using homodigital dorsal middle phalangeal neurovascular advancement flap

2009 ◽  
Vol 35 (2) ◽  
pp. 125-129 ◽  
Author(s):  
K. Özaksar ◽  
T. Toros ◽  
T. S. Sügün ◽  
E. Bal ◽  
Y. Ademoğlu ◽  
...  
Keyword(s):  
Advancement Flap ◽  
Mean Value ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Discrimination Test ◽  
Extension Deficit ◽  
Flap Procedure ◽  
Neurovascular Pedicle ◽  
The Mean

Eighteen finger pulp defects were reconstructed using a homodigital dorsal middle phalangeal neurovascular island flap procedure based on a single neurovascular pedicle preserving the length of the finger. All flaps survived and achieved adequate functional and cosmetic results. The mean follow-up time was 22 months. The mean value of static two-point discrimination test of the healed flaps was 7 mm and the mean value of moving two-point discrimination test was 5 mm. Range of motion was considered satisfactory in all reconstructed fingers except one, in which a 20° extension deficit at the proximal interphalangeal joint was observed. This flap represents a useful alternative for reconstruction of the fingers with large pulp defects.

Salvage of an avulsion amputated thumb at the interphalangeal joint level using afferent arteriovenous shunting

2005 ◽  
Vol 58 (6) ◽  
pp. 869-872 ◽  
Author(s):  
Kuang-Te Chen ◽  
Yi-Chieh Chen ◽  
Samir Mardini ◽  
Fu-Chan Wei
Keyword(s):  
Interphalangeal Joint ◽  
Arteriovenous Shunting ◽  
Joint Level

Fingertip defect reconstruction with a modified pivot flap

2020 ◽  
Vol 46 (1) ◽  
pp. 75-79
Author(s):  
Giovanna Petrella ◽  
Daniele Tosi ◽  
Gianluca Sapino ◽  
Roberto Adani
Keyword(s):  
Vascular Supply ◽  
Interphalangeal Joint ◽  
Discrimination Test ◽  
Distal Interphalangeal Joint ◽  
Level Of Evidence ◽  
Cold Intolerance ◽  
Reliable Technique ◽  
Defect Reconstruction ◽  
Distal Interphalangeal ◽  
Average Size

The pivot flap can treat volar oblique defects of the fingers distal to the distal interphalangeal joint. We present our experience in 11 fingers (11 patients) using this flap, including some modifications that optimize flap harvesting, mobilization, inset, and vascular supply and outcomes. The flaps harvested had an average size of 2.4 × 2.0 cm. The patients were followed for an average of 21 months (range 12 to 36) after surgery. Sensitivity of the flap was evaluated with the Semmes–Weinstein monofilaments test and static two-point discrimination test. Cold intolerance was also evaluated. The pivot flap with the modifications demonstrates a reliable technique for fingertip defect reconstruction. The results, in terms of sensitivity and functional recovery, seem promising. Level of evidence: IV

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

2005 ◽  
Vol 30 (4) ◽  
pp. 338-342 ◽  
Author(s):  
S. E. VARITIMIDIS ◽  
Z. H. DAILIANA ◽  
A. H. ZIBIS ◽  
M. HANTES ◽  
K. BARGIOTAS ◽  
...  
Keyword(s):  
Distal Phalanx ◽  
Interphalangeal Joint ◽  
Island Flap ◽  
Type Ii ◽  
Distal Interphalangeal Joint ◽  
Neurovascular Pedicle ◽  
Excellent Method ◽  
Distal Interphalangeal ◽  
Fingertip Reconstruction ◽  
Cold Hypersensitivity

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.

Distal Thumb Reconstruction Using a Mini Wrap-Around Flap from the Great Toe

1999 ◽  
Vol 24 (4) ◽  
pp. 437-442 ◽  
Author(s):  
R. ADANI ◽  
L. J. CARDON ◽  
C. CASTAGNETTI ◽  
M. PINELLI
Keyword(s):  
Donor Site ◽  
Distal Phalanx ◽  
Interphalangeal Joint ◽  
Reconstruction Technique ◽  
Significant Morbidity ◽  
Great Toe ◽  
Thumb Reconstruction ◽  
Cold Intolerance

We have used a great toe mini wrap-around flap for reconstruction of the thumb at, or distal to, the interphalangeal joint. Our series included 12 patients with traumatic amputations. A flap including the entire nail and most of the distal phalanx of the great toe was used. Eleven of the grafts survived. Sensibility was good with an average of 10 mm static two-point discrimination (range, 5–15) and there were no complaints of cold intolerance. All patients were pleased with the appearance of the thumb and there was no significant morbidity at the great toe donor site. The great toe mini wrap-around flap is an excellent reconstruction technique for selected patients with distal thumb amputations.

scholarly journals A four-year community hospital experience regarding procedures for the replantation and revascularization of fingers

2021 ◽  
Vol 32 (2) ◽  
pp. 383-390
Author(s):  
Kaan Gürbüz ◽  
Yalçın Yontar
Keyword(s):  
Community Hospital ◽  
Functional Results ◽  
Clinical Results ◽  
Dominant Hand ◽  
Severity Scale ◽  
Cold Intolerance ◽  
Work Related ◽  
The Third ◽  
The Mean

Objectives: This study aims to evaluate the clinical results and experiences in a community hospital regarding procedures for the replantation and revascularization of fingers. Patients and methods: Between June 2015 and December 2019, a total of 58 patients (51 males, 7 females; mean age: 33.4±6.3 years; range, 23 to 46 years) who were followed after total and/or subtotal amputation and replantation were retrospectively analyzed. The patients were evaluated at nine months in terms of cold intolerance, static two-point discrimination, and functional results using the range of motion (ROM) and Quick Disabilities of the Arm, Shoulder and Hand (QuickDASH) questionnaire. Results: The majority of the patients presented with work-related injuries (70%), most commonly by the mechanism of guillotine (64%), and to the dominant hand (76%) and the third finger (36%) most frequently. The overall success rate of digit salvage was 72.9% (n=51). Of 19 digits with unsuccessful surgical outcomes, seven were from total and 12 were from subtotal amputations. In the long-term, cold intolerance was observed in 14 patients (24.1%) according to the cold intolerance severity scale. The mean static two- point discrimination value was 6.0±0.7 mm and the mean QuickDASH score was 22.3±5.0. The mean ROM measured at nine months after surgery in the metacarpophalangeal and interphalangeal joints of the third and fourth digits was significantly lower than that in the others (p<0.05). Conclusion: The predictors of survival of a replanted digit indicated in this study can be used as a guide and decision-making aid for any attempts for replantation.

scholarly journals Surgical management of enchondroma with joint transfer: a case report

2018 ◽  
Vol 6 (8) ◽  
pp. 2823
Author(s):  
Rodrigo Banegas-Ruiz ◽  
Baca-Domínguez C. R. ◽  
Campos-Angulo G. ◽  
Ríos de la Torre K. I. ◽  
Juan J. Granados-Romero ◽  
...  
Keyword(s):  
Young Patients ◽  
Proximal Interphalangeal Joint ◽  
Interphalangeal Joint ◽  
Benign Bone Tumor ◽  
The Third ◽  
Right Hand ◽  
Grade Ii ◽  
The Right ◽  
Second Toe

The enchondromas are the most common benign bone tumor in the hands, mainly in young patients and its treatment is surgical in most cases due to its possible complications avoided through different procedures such as joint transfer, which allows to maintain a good quality of life for the patient. We present the case of a 42-year-old woman who came to the clinic for blunt trauma in the right hand where she was incidentally diagnosed with enchondroma on the third finger of the proximal interphalangeal joint of the right hand. Articular transfer of the proximal interphalangeal joint was performed. Second toe on the right, at 6 weeks corroborates correct evolution with bone consolidation of the articular transfer grade III and donor zone grade II, without infection complications, the correct recovery of the extensor movement range of this joint improving so their state of life should be the main objective of these procedures.

Progress report on 21-cm observations at low latitude between longitudes (l 11) 0° and 66°

1967 ◽  
Vol 31 ◽  
pp. 177-179
Author(s):  
W. W. Shane
Keyword(s):  
Preliminary Report ◽  
Progress Report ◽  
Galactic Centre ◽  
Low Latitude ◽  
The Third ◽  
Introductory Lecture ◽  
Centre Region

In the course of several 21-cm observing programmes being carried out by the Leiden Observatory with the 25-meter telescope at Dwingeloo, a fairly complete, though inhomogeneous, survey of the regionl11= 0° to 66° at low galactic latitudes is becoming available. The essential data on this survey are presented in Table 1. Oort (1967) has given a preliminary report on the first and third investigations. The third is discussed briefly by Kerr in his introductory lecture on the galactic centre region (Paper 42). Burton (1966) has published provisional results of the fifth investigation, and I have discussed the sixth in Paper 19. All of the observations listed in the table have been completed, but we plan to extend investigation 3 to a much finer grid of positions.

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