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Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers

BACKGROUND: The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface def...

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Autores principales: Cho, Yong Jin, Roh, Si Young, Kim, Jin Soo, Lee, Dong Chul, Yang, Jae Won
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Plastic and Reconstructive Surgeons 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665866/
https://www.ncbi.nlm.nih.gov/pubmed/23730598
http://dx.doi.org/10.5999/aps.2013.40.3.226
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author Cho, Yong Jin
Roh, Si Young
Kim, Jin Soo
Lee, Dong Chul
Yang, Jae Won
author_facet Cho, Yong Jin
Roh, Si Young
Kim, Jin Soo
Lee, Dong Chul
Yang, Jae Won
author_sort Cho, Yong Jin
collection PubMed
description BACKGROUND: The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps. METHODS: A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture. RESULTS: All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series. CONCLUSIONS: Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.
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spelling pubmed-36658662013-05-31 Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers Cho, Yong Jin Roh, Si Young Kim, Jin Soo Lee, Dong Chul Yang, Jae Won Arch Plast Surg Original Article BACKGROUND: The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps. METHODS: A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture. RESULTS: All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series. CONCLUSIONS: Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location. The Korean Society of Plastic and Reconstructive Surgeons 2013-05 2013-05-16 /pmc/articles/PMC3665866/ /pubmed/23730598 http://dx.doi.org/10.5999/aps.2013.40.3.226 Text en Copyright © 2013 The Korean Society of Plastic and Reconstructive Surgeons http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Cho, Yong Jin
Roh, Si Young
Kim, Jin Soo
Lee, Dong Chul
Yang, Jae Won
Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title_full Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title_fullStr Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title_full_unstemmed Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title_short Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
title_sort second toe plantar free flap for volar tissue defects of the fingers
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3665866/
https://www.ncbi.nlm.nih.gov/pubmed/23730598
http://dx.doi.org/10.5999/aps.2013.40.3.226
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