J Korean Surgery Hand Soc Search

CLOSE


Arch Hand Microsurg > Volume 22(2); 2013 > Article
Journal of the Korean Society for Surgery of the Hand 2013;22(2):63-68.
Published online November 30, 2013.
DOI: https://doi.org/10.15596/ARMS.2013.22.2.63   
Free Flap Coverage of the Finger Defect Caused by Digital Replantation Failure
Jung-Hwan Shim, Seong-Ho Jeong
Department of Plastic and Reconstructive Surgery, Korea University College of Medicine, Seoul, Korea. surgilearn@korea.ac.kr
Received: 20 November 2013   • Revised: 25 November 2013   • Accepted: 25 November 2013
Abstract

Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure.

Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation.

Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result (15o to 100o). The VAS patient satisfaction score for aesthetic were five in six patients, four in four patients, and three in one patient.

Conclusion: In case of the failed digital replantation, if patient refuse toe transfer, it could be useful method to reconstruction with the free flap to preserving maximal length of amputated stump.

Key Words: Failed digital replantation, Medial plantar artery perforator flap, Great toe pulp
 
TOOLS
Share :
Facebook Twitter Linked In Google+ Line it
METRICS Graph View
  • 0 Crossref
  •    
  • 362 View
  • 3 Download
Related articles in Arch Hand Microsurg


About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
St. Vincent’s Hospital, College of Medicine, The Catholic University of Korea, 93 Ji-dong, Paldal-gu, Suwon 16247, Korea
Tel: +82-31-249-7186    Fax: +82-31-254-7186    E-mail: journal@handmicro.org                

Copyright © 2021 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next