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Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein
PURPOSE: To evaluate the clinical utility of surgical reconstruction of finger pulp defects using a plantar flap derived from the toes, with vascular anastomosis of the toe-finger artery and the plantar-palmar vein of the finger. METHODS: Between April 2018 and November 2020, 29 patients with finger...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287904/ https://www.ncbi.nlm.nih.gov/pubmed/35842704 http://dx.doi.org/10.1186/s13018-022-03232-z |
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author | Zhang, Xiaoli Wang, Ziyu Ma, Xiaoning Jin, Yanyan Wang, Jingxin Yu, Hang Li, Tong Xiu, Xiaolei |
author_facet | Zhang, Xiaoli Wang, Ziyu Ma, Xiaoning Jin, Yanyan Wang, Jingxin Yu, Hang Li, Tong Xiu, Xiaolei |
author_sort | Zhang, Xiaoli |
collection | PubMed |
description | PURPOSE: To evaluate the clinical utility of surgical reconstruction of finger pulp defects using a plantar flap derived from the toes, with vascular anastomosis of the toe-finger artery and the plantar-palmar vein of the finger. METHODS: Between April 2018 and November 2020, 29 patients with finger pulp defects underwent treatment via the transplantation of pulp tissue from the second toe, with the plantar vein of the toe and the palmar vein of the finger being anastomosed during this procedure. In addition, an anastomosis of the toe and finger artery and nerve was conducted, with a flap size of 1.0 cm * 0.8 cm–2.3 cm * 4.0 cm being used for such repair. Donor tissue sites were closed without introducing deformities or other complications. RESULTS: In all patients in the present study, flap tissues survived and did not exhibit evidence of vascular crisis over a mean 16.8-month follow-up period (range 8–24 months). After successful skin flap grafting, they exhibited good elasticity and a soft texture. At three months post-surgery, some patients reported partial recovery of touch sensation in the transplanted tissue, while pain recovery was evident in some patients at 4–6 months post-surgery. No deformities or other complications were observed at the donor site, and the ability of patients to walk normally was not impaired. CONCLUSION: The anastomosis of toe plantar flaps with the palmar vein can facilitate the repair of finger pulp injuries without the need to dissect the dorsal vein of the toe, allowing for the suturing of donor tissue sites without causing any deformities or other complications. This surgical approach can easily be conducted with satisfactory clinical outcomes. |
format | Online Article Text |
id | pubmed-9287904 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92879042022-07-17 Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein Zhang, Xiaoli Wang, Ziyu Ma, Xiaoning Jin, Yanyan Wang, Jingxin Yu, Hang Li, Tong Xiu, Xiaolei J Orthop Surg Res Research PURPOSE: To evaluate the clinical utility of surgical reconstruction of finger pulp defects using a plantar flap derived from the toes, with vascular anastomosis of the toe-finger artery and the plantar-palmar vein of the finger. METHODS: Between April 2018 and November 2020, 29 patients with finger pulp defects underwent treatment via the transplantation of pulp tissue from the second toe, with the plantar vein of the toe and the palmar vein of the finger being anastomosed during this procedure. In addition, an anastomosis of the toe and finger artery and nerve was conducted, with a flap size of 1.0 cm * 0.8 cm–2.3 cm * 4.0 cm being used for such repair. Donor tissue sites were closed without introducing deformities or other complications. RESULTS: In all patients in the present study, flap tissues survived and did not exhibit evidence of vascular crisis over a mean 16.8-month follow-up period (range 8–24 months). After successful skin flap grafting, they exhibited good elasticity and a soft texture. At three months post-surgery, some patients reported partial recovery of touch sensation in the transplanted tissue, while pain recovery was evident in some patients at 4–6 months post-surgery. No deformities or other complications were observed at the donor site, and the ability of patients to walk normally was not impaired. CONCLUSION: The anastomosis of toe plantar flaps with the palmar vein can facilitate the repair of finger pulp injuries without the need to dissect the dorsal vein of the toe, allowing for the suturing of donor tissue sites without causing any deformities or other complications. This surgical approach can easily be conducted with satisfactory clinical outcomes. BioMed Central 2022-07-16 /pmc/articles/PMC9287904/ /pubmed/35842704 http://dx.doi.org/10.1186/s13018-022-03232-z Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Zhang, Xiaoli Wang, Ziyu Ma, Xiaoning Jin, Yanyan Wang, Jingxin Yu, Hang Li, Tong Xiu, Xiaolei Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title | Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title_full | Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title_fullStr | Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title_full_unstemmed | Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title_short | Repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
title_sort | repair of finger pulp defects using a free second toe pulp flap anastomosed with the palmar vein |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9287904/ https://www.ncbi.nlm.nih.gov/pubmed/35842704 http://dx.doi.org/10.1186/s13018-022-03232-z |
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