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Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique

Fingertip injury is the most common type of upper extremity injury. Operative treatment with flap cover is required for tissue loss causing bone exposure and when there is a compelling need to preserve the length, unless microvascular replantation is possible. There are many techniques described for...

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Autores principales: Rankothkumbura, Jeewan Pradeep, Prasad, Iddagoda Hewage Don Samitha, Gayamali, Gamini Kaushalya, Dissanayake, Dammika Abeywickrama
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Thieme Medical and Scientific Publishers Pvt. Ltd. 2023
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663072/
https://www.ncbi.nlm.nih.gov/pubmed/38026773
http://dx.doi.org/10.1055/s-0043-1775868
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author Rankothkumbura, Jeewan Pradeep
Prasad, Iddagoda Hewage Don Samitha
Gayamali, Gamini Kaushalya
Dissanayake, Dammika Abeywickrama
author_facet Rankothkumbura, Jeewan Pradeep
Prasad, Iddagoda Hewage Don Samitha
Gayamali, Gamini Kaushalya
Dissanayake, Dammika Abeywickrama
author_sort Rankothkumbura, Jeewan Pradeep
collection PubMed
description Fingertip injury is the most common type of upper extremity injury. Operative treatment with flap cover is required for tissue loss causing bone exposure and when there is a compelling need to preserve the length, unless microvascular replantation is possible. There are many techniques described for this purpose offering varying degrees of good outcomes. Yet there are limitations and long-term problems. We report a case series with a novel technique named “Colombo flap,” which is a neurovascular islanded advancement flap based on a single pedicle. Five fingers of four consented patients were operated using this technique and they were followed up for 2.5 years. All had satisfactory sensory recovery (S3 +/S4), preserved range of motion (ROM) at interphalangeal joints, good grip strengths, and satisfactory outcomes based on Michigan Hand Questionnaire (MHQ). There were no complications such as flap necrosis, infection, and neuroma formation. Hook nail deformity was minimal and none had pain or cold intolerance.
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spelling pubmed-106630722023-10-01 Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique Rankothkumbura, Jeewan Pradeep Prasad, Iddagoda Hewage Don Samitha Gayamali, Gamini Kaushalya Dissanayake, Dammika Abeywickrama Indian J Plast Surg Fingertip injury is the most common type of upper extremity injury. Operative treatment with flap cover is required for tissue loss causing bone exposure and when there is a compelling need to preserve the length, unless microvascular replantation is possible. There are many techniques described for this purpose offering varying degrees of good outcomes. Yet there are limitations and long-term problems. We report a case series with a novel technique named “Colombo flap,” which is a neurovascular islanded advancement flap based on a single pedicle. Five fingers of four consented patients were operated using this technique and they were followed up for 2.5 years. All had satisfactory sensory recovery (S3 +/S4), preserved range of motion (ROM) at interphalangeal joints, good grip strengths, and satisfactory outcomes based on Michigan Hand Questionnaire (MHQ). There were no complications such as flap necrosis, infection, and neuroma formation. Hook nail deformity was minimal and none had pain or cold intolerance. Thieme Medical and Scientific Publishers Pvt. Ltd. 2023-10-16 /pmc/articles/PMC10663072/ /pubmed/38026773 http://dx.doi.org/10.1055/s-0043-1775868 Text en Association of Plastic Surgeons of India. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. ( https://creativecommons.org/licenses/by-nc-nd/4.0/ ) https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives License, which permits unrestricted reproduction and distribution, for non-commercial purposes only; and use and reproduction, but not distribution, of adapted material for non-commercial purposes only, provided the original work is properly cited.
spellingShingle Rankothkumbura, Jeewan Pradeep
Prasad, Iddagoda Hewage Don Samitha
Gayamali, Gamini Kaushalya
Dissanayake, Dammika Abeywickrama
Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title_full Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title_fullStr Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title_full_unstemmed Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title_short Homodigital Unipedicled Islanded Neurovascular Pulp Advancement Flap/Colombo Flap for Fingertip Reconstruction: A Case Series with a Novel Technique
title_sort homodigital unipedicled islanded neurovascular pulp advancement flap/colombo flap for fingertip reconstruction: a case series with a novel technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10663072/
https://www.ncbi.nlm.nih.gov/pubmed/38026773
http://dx.doi.org/10.1055/s-0043-1775868
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