Finger pulp reconstruction with thenar flap: Aesthetic and functional outcome

• 作者: Chakraborty Sourabh Shankar Dixit Pawan Kumar K Suresh Kala Prakash Chandra Katrolia Deepti Sahu Ranjit Kumar
• 来源期刊: 中华创伤杂志英文版
• 关键词: Finger injuries Finger pulp reconstruction Thenar flap
• 年，卷（期）: 2020,（5）
• 所属期刊栏目: Original Article
• 页码范围: 307-310
• 页数: 4页
• 语种: 中文
• DOI: 10.1016/j.cjtee.2020.02.004

摘要

Purpose::Fingertip injuries are common in industrial production activities as well as in domestic work. Loss of pulp hampers daily life activities. Functional and aesthetic aspects are important in fingertip reconstruction. The bone is usually exposed along with soft tissue loss. Therefore to reconstruct the pulp flap with adequate bulk is required.Methods::We reported a case series of 12 patients with the injury over the volar aspect of distal phalanx of the index or middle finger. In all cases, laterally based thenar flap was chosen. The flap donor site was closed primarily in most of cases, while 4 patients required skin graft. The flap was detached between 2-3 weeks. Functional assessment was done using static and dynamic 2-point discrimination and range of motion at each joint. The aesthetic outcome was assessed through questionnaire. The results were analyzed using the unpaired t-test (SPSS version 21). Results::Partial necrosis occurred in 2 cases while rest of flaps survived successfully. Static 2-point discrimination ranged from 6-10 mm, mean 8.6 mm; and dynamic 2-point discrimination ranged from 8-10 mm, mean 8.9 mm. The mean satisfaction score was (4.0 ± 0.55).Conclusion::Thenar flap is a good choice for reconstruction of the finger pulp as it provides the bulk with good functional and aesthetic outcome.