Second Toe Plantar Free Flap for Volar Tissue Defects of the Fingers
Archives of Plastic Surgery
;
: 226-231, 2013.
Article
in English
| WPRIM
| ID: wpr-157836
ABSTRACT
BACKGROUND:
The reconstruction of volar surface defects is difficult because of the special histologic nature of the tissue involved. The plantar surface is the most homologous in shape and function and could be considered the most ideal of reconstructive options in select cases of volar surface defects. In this paper, we evaluate a single institutional case series of volar tissue defects managed with second toe plantar free flaps.METHODS:
A single-institution retrospective review was performed on 12 cases of reconstruction using a second toe plantar free flap. The mean age was 33 years (range, 9 to 54 years) with a male-to-female ratio of 5-to-1. The predominant mechanism was crush injury (8 cases) followed by amputations (3 cases) and a single case of burn injury. Half of the indications (6 cases) were for soft-tissue defects with the other half for scar contracture.RESULTS:
All of the flaps survived through the follow-up period. Sensory recovery was related to the time interval between injury and reconstruction-with delayed operations portending worse outcomes. There were no postoperative complications in this series.CONCLUSIONS:
Flexion contracture is the key functional deficit of volar tissue defects. The second toe plantar free flap is the singular flap whose histology most closely matches those of the original volar tissue. In our experience, this flap is the superior reconstructive option within the specific indications dictated by the defect size and location.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Postoperative Complications
/
Burns
/
Toes
/
Retrospective Studies
/
Follow-Up Studies
/
Cicatrix
/
Soft Tissue Injuries
/
Contracture
/
Free Tissue Flaps
/
Finger Injuries
Type of study:
Observational study
/
Prognostic study
Language:
English
Journal:
Archives of Plastic Surgery
Year:
2013
Type:
Article
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