南方科技大学知识苑(SUSTech KC): Repair of Fingertip Degloving Injuries Using the Extended Reverse Second Dorsal Metacarpal Artery Flap

题名	Repair of Fingertip Degloving Injuries Using the Extended Reverse Second Dorsal Metacarpal Artery Flap
作者	Zhang, Wenlong 1; Zhang, Xu 2; Liu, Yingnan 3; Xu, Tao 3 ; Zhuang, Yongqing 3; Chen, Chao 3
通讯作者	Chen, Chao
发表日期	2024-07-01
DOI	10.1097/PRS.0000000000010939
发表期刊	PLASTIC AND RECONSTRUCTIVE SURGERY 影响因子和分区
ISSN	0032-1052
EISSN	1529-4242
卷号	154 期号:1
摘要	Background: This study aimed to introduce modified reverse second dorsal metacarpal artery flap (MRSDMAF) transfer for the treatment of fingertip degloving injuries. Methods: From January of 2004 to March of 2020, 31 patients with fingertip degloving injuries underwent MRSDMAF transfer. The mean defect and flap size were 4.5 x 1.6 cm and 4.7 x 1.7 cm, respectively. Nerve repair was performed in 18 fingers. Flap sensation, function restoration of the reconstructed fingers, and donor-site morbidity were assessed. For comparison, we reviewed a cohort of 45 patients undergoing modified cross-finger flap (MCFF) transfer. Results: Complete flap survival was achieved in 28 fingers, and partial distal flap necrosis was noted in 3 fingers. After a mean of 24 months, the static 2-point discrimination was 8.6 +/- 1.0 mm and 7.2 +/- 0.8 mm in the MRSDMAF and MCFF groups, with a significant difference (P < 0.0001). Sensory restoration of the MRSDMAF group was inferior to that of the MCFF group. In addition, the MRSDMAF group presented a higher incidence of fingertip pain (P = 0.019) and suboptimal appearance of the reconstructed finger (P = 0.036). On the donor site, the MRSDMAF group presented a lower incidence of scar pain (P = 0.030) and better appearance (P = 0.025). Conclusion: MRSDMAF transfer is an alternative treatment for fingertip degloving injuries, especially when MCFF transfer is not feasible. CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, III.
相关链接	[来源记录]
收录类别	SCI
语种	英语
学校署名	通讯
WOS研究方向	Surgery
WOS类目	Surgery
WOS记录号	WOS:001260602600008
出版者	LIPPINCOTT WILLIAMS & WILKINS
ESI学科分类	CLINICAL MEDICINE
来源库	Web of Science
引用统计
成果类型	期刊论文
条目标识符	http://sustech.caswiz.com/handle/2SGJ60CL/786684
专题	南方科技大学第一附属医院
作者单位	1.Tianjin Union Med Ctr, Hand & Foot Surg, Tianjin, Peoples R China 2.Hebei Med Univ, Hosp 3, Hand Surg Dept, Shijiazhuang, Peoples R China 3.Southern Univ Sci & Technol, Jinan Univ, Shenzhen Peoples Hosp, Dept Orthoped,Div Hand Foot & Microvasc Surg,Affil, Shenzhen, Peoples R China
通讯作者单位	南方科技大学第一附属医院
推荐引用方式 GB/T 7714	Zhang, Wenlong,Zhang, Xu,Liu, Yingnan,et al. Repair of Fingertip Degloving Injuries Using the Extended Reverse Second Dorsal Metacarpal Artery Flap[J]. PLASTIC AND RECONSTRUCTIVE SURGERY,2024,154(1).
APA	Zhang, Wenlong,Zhang, Xu,Liu, Yingnan,Xu, Tao,Zhuang, Yongqing,&Chen, Chao.(2024).Repair of Fingertip Degloving Injuries Using the Extended Reverse Second Dorsal Metacarpal Artery Flap.PLASTIC AND RECONSTRUCTIVE SURGERY,154(1).
MLA	Zhang, Wenlong,et al."Repair of Fingertip Degloving Injuries Using the Extended Reverse Second Dorsal Metacarpal Artery Flap".PLASTIC AND RECONSTRUCTIVE SURGERY 154.1(2024).