Aesthetic and Functional Reconstruction of Fingertip and Pulp Defects With Pivot Flaps

Ni F, Appleton SE, Chen B, et al (Shanghai Jiaotong Univ School of Medicine, People’s Republic of China; Dalhousie Univ, Halifax, Canada) J Hand Surg 37A:1806-1811, 2012^§

Abstract

Purpose

Sensate reconstruction with glabrous skin is essential for ideal resurfacing of fingertip and pulp defects. The purpose of this study was to examine the palmar pivot flap as a reconstructive option for fingertip and pulp defects.

Methods

We used the palmar pivot flap to repair fingertip and pulp defects in 21 consecutive patients. Outcomes measured included range of motion of the distal interphalangeal and proximal interphalangeal joints, sensation, pain, cold intolerance, and percussion tenderness. We assessed patient satisfaction with the aesthetic outcome using the Michigan Hand Outcomes Questionnaire.

Results

All flaps survived. We achieved complete mobility at the distal interphalangeal and proximal interphalangeal joints. Sensory recovery was demonstrated in all flaps within 2 weeks postoperatively. No painful tips were reported at an average follow-up of 11 months. All flaps had mild cold intolerance, and 1 patient reported mild percussion tenderness. All patients were satisfied with the appearance of the reconstructed fingertips.

Conclusion

Only gold members can continue reading. Log In or Register to continue

Share this:

• X
• Facebook

Related

Related posts:

of the Wrist and Associated Triangular Fibrocartilage Lesions: A Prospective Study in Arthroscopically-treated Patients of Sensory Reeducation Programs on Functional Hand Sensibility after Median and Ulnar Repair: A Systematic Review Biomechanical Comparison of 3 Loop Suture Materials in a 6-Strand Flexor Tendon Repair Technique Results of the Darrach Procedure: A Long-Term Outcome Study Longitudinal Follow-up of Mini-Open Rotator Cuff Repair of the Brief International Classification of Functioning, Disability, and Health (ICF) Core Set for Hand Conditions

Stay updated, free articles. Join our Telegram channel

Join