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Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction
BACKGROUND: In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. METHODS: A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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The Korean Society of Plastic and Reconstructive Surgeons
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738131/ https://www.ncbi.nlm.nih.gov/pubmed/26848448 http://dx.doi.org/10.5999/aps.2016.43.1.66 |
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author | Kim, Hyung Su Lee, Dong Chul Kim, Jin Soo Roh, Si Young Lee, Kyung Jin Yang, Jae Won Ki, Sae Hwi Harijan, Aram |
author_facet | Kim, Hyung Su Lee, Dong Chul Kim, Jin Soo Roh, Si Young Lee, Kyung Jin Yang, Jae Won Ki, Sae Hwi Harijan, Aram |
author_sort | Kim, Hyung Su |
collection | PubMed |
description | BACKGROUND: In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. METHODS: A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. RESULTS: The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0–10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. CONCLUSIONS: The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process. |
format | Online Article Text |
id | pubmed-4738131 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | The Korean Society of Plastic and Reconstructive Surgeons |
record_format | MEDLINE/PubMed |
spelling | pubmed-47381312016-02-04 Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction Kim, Hyung Su Lee, Dong Chul Kim, Jin Soo Roh, Si Young Lee, Kyung Jin Yang, Jae Won Ki, Sae Hwi Harijan, Aram Arch Plast Surg Original Article BACKGROUND: In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. METHODS: A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. RESULTS: The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0–10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. CONCLUSIONS: The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process. The Korean Society of Plastic and Reconstructive Surgeons 2016-01 2016-01-15 /pmc/articles/PMC4738131/ /pubmed/26848448 http://dx.doi.org/10.5999/aps.2016.43.1.66 Text en Copyright © 2016 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 Kim, Hyung Su Lee, Dong Chul Kim, Jin Soo Roh, Si Young Lee, Kyung Jin Yang, Jae Won Ki, Sae Hwi Harijan, Aram Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title | Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title_full | Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title_fullStr | Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title_full_unstemmed | Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title_short | Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction |
title_sort | donor-site morbidity after partial second toe pulp free flap for fingertip reconstruction |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4738131/ https://www.ncbi.nlm.nih.gov/pubmed/26848448 http://dx.doi.org/10.5999/aps.2016.43.1.66 |
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