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P3 Flap: Technique for Fingertip Reconstruction

Fingertip amputations represent an important spectrum of injuries, and most are avulsions or crush trauma. There is no consensus about one single standard treatment, and a wide number of techniques are available. The authors present the P3 flap as an option for covering fingertip defects with bone e...

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Autores principales: Petrella, Giovanna, Della Rosa, Norman, Adani, Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10287140/
https://www.ncbi.nlm.nih.gov/pubmed/37360232
http://dx.doi.org/10.1097/GOX.0000000000005002
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author Petrella, Giovanna
Della Rosa, Norman
Adani, Roberto
author_facet Petrella, Giovanna
Della Rosa, Norman
Adani, Roberto
author_sort Petrella, Giovanna
collection PubMed
description Fingertip amputations represent an important spectrum of injuries, and most are avulsions or crush trauma. There is no consensus about one single standard treatment, and a wide number of techniques are available. The authors present the P3 flap as an option for covering fingertip defects with bone exposure, avoiding painful scars in the pulp area, without a donor site. This study included 12 fingertips with amputated segment not available for replantation. Volar oblique fingertip defects and transverse amputations with bone exposure, not more proximal than Hirase Zone IIB, were included. Defects were less than 2 cm. The patients were followed up for an average of 6 months. The aesthetic and functional outcomes and fingertip discrimination recovery were evaluated at 6 months by the static two-point discrimination (2-PD) test and DASH score (quick version). The average postoperative 2-PD test at 6 months was 5.9 mm (range from 5 to 8 mm). The mean healing time of the fingertip was 4 weeks. Nail deformity was reported in three cases with level IIB of amputation. None of the P3 flaps failed, and local infection was not reported. The average DASH score at 6 months was 1.1. The mean time to return to work was 38 days (range from 30 to 53). The P3 flap proposed in this study demonstrates a reliable single-stage technique, performed under local anesthesia, for fingertip defect reconstruction, avoiding skin incision and scars in the pulp region and preserving digital length and nail bed.
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spelling pubmed-102871402023-06-23 P3 Flap: Technique for Fingertip Reconstruction Petrella, Giovanna Della Rosa, Norman Adani, Roberto Plast Reconstr Surg Glob Open Hand Fingertip amputations represent an important spectrum of injuries, and most are avulsions or crush trauma. There is no consensus about one single standard treatment, and a wide number of techniques are available. The authors present the P3 flap as an option for covering fingertip defects with bone exposure, avoiding painful scars in the pulp area, without a donor site. This study included 12 fingertips with amputated segment not available for replantation. Volar oblique fingertip defects and transverse amputations with bone exposure, not more proximal than Hirase Zone IIB, were included. Defects were less than 2 cm. The patients were followed up for an average of 6 months. The aesthetic and functional outcomes and fingertip discrimination recovery were evaluated at 6 months by the static two-point discrimination (2-PD) test and DASH score (quick version). The average postoperative 2-PD test at 6 months was 5.9 mm (range from 5 to 8 mm). The mean healing time of the fingertip was 4 weeks. Nail deformity was reported in three cases with level IIB of amputation. None of the P3 flaps failed, and local infection was not reported. The average DASH score at 6 months was 1.1. The mean time to return to work was 38 days (range from 30 to 53). The P3 flap proposed in this study demonstrates a reliable single-stage technique, performed under local anesthesia, for fingertip defect reconstruction, avoiding skin incision and scars in the pulp region and preserving digital length and nail bed. Lippincott Williams & Wilkins 2023-05-22 /pmc/articles/PMC10287140/ /pubmed/37360232 http://dx.doi.org/10.1097/GOX.0000000000005002 Text en Copyright © 2023 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of The American Society of Plastic Surgeons. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (https://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Hand
Petrella, Giovanna
Della Rosa, Norman
Adani, Roberto
P3 Flap: Technique for Fingertip Reconstruction
title P3 Flap: Technique for Fingertip Reconstruction
title_full P3 Flap: Technique for Fingertip Reconstruction
title_fullStr P3 Flap: Technique for Fingertip Reconstruction
title_full_unstemmed P3 Flap: Technique for Fingertip Reconstruction
title_short P3 Flap: Technique for Fingertip Reconstruction
title_sort p3 flap: technique for fingertip reconstruction
topic Hand
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10287140/
https://www.ncbi.nlm.nih.gov/pubmed/37360232
http://dx.doi.org/10.1097/GOX.0000000000005002
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