schliessen

Filtern

 

Bibliotheken

A Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction

Aim To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. Methods We ret... Full description

Journal Title: PLoS ONE 2014, Vol.9(8)
Main Author: Liu, Yujie
Other Authors: Jiao, Hongsheng , Ji, Xiang , Liu, Chunlei , Zhong, Xiaopen , Zhang, Hongxun , Ding, Xiaohen , Cao, Xuecheng
Format: Electronic Article Electronic Article
Language:
Subjects:
ID: E-ISSN: 1932-6203 ; DOI: 10.1371/journal.pone.0104014 ; PMCID: 4123926 ; PMID: 25098605
Zum Text:
SendSend as email Add to Book BagAdd to Book Bag
Staff View
recordid: pubmed_central4123926
title: A Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction
format: Article
creator:
  • Liu, Yujie
  • Jiao, Hongsheng
  • Ji, Xiang
  • Liu, Chunlei
  • Zhong, Xiaopen
  • Zhang, Hongxun
  • Ding, Xiaohen
  • Cao, Xuecheng
subjects:
  • Research Article
  • Biology And Life Sciences
  • Medicine And Health Sciences
ispartof: PLoS ONE, 2014, Vol.9(8)
description: Aim To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. Methods We retrospectively reviewed the outcomes for 41 free flaps from the ipsilateral extremity in the reconstruction of finger defects in 41 patients with small/moderate skin defects, including 11 AVFs, 10 SPBRA flaps, 10 PIPFs, and 10 UAPF flaps. Standardized assessment of outcomes was performed, including duration of operation, objective sensory recovery, cold intolerance, time of returning to work, active total range of motion (ROM) of the injured fingers, and the cosmetic appearance of the donor/recipient sites. Results All flaps survived completely, and the follow-up duration was 13.5 months. The mean duration of the complete surgical procedure for AVFs was distinctly shorter than that of the other flaps ( p
language:
source:
identifier: E-ISSN: 1932-6203 ; DOI: 10.1371/journal.pone.0104014 ; PMCID: 4123926 ; PMID: 25098605
fulltext: fulltext
issn:
  • 1932-6203
  • 19326203
url: Link


@attributes
ID1695209184
RANK0.07
NO1
SEARCH_ENGINEprimo_central_multiple_fe
SEARCH_ENGINE_TYPEPrimo Central Search Engine
LOCALfalse
PrimoNMBib
record
control
sourcerecordid4123926
sourceidpubmed_central
recordidTN_pubmed_central4123926
sourceformatXML
sourcesystemPC
pqid1551695588
galeid418707449
display
typearticle
titleA Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction
creatorLiu, Yujie ; Jiao, Hongsheng ; Ji, Xiang ; Liu, Chunlei ; Zhong, Xiaopen ; Zhang, Hongxun ; Ding, Xiaohen ; Cao, Xuecheng
contributorSantanelli, Fabio (editor)
ispartofPLoS ONE, 2014, Vol.9(8)
identifier
subjectResearch Article ; Biology And Life Sciences ; Medicine And Health Sciences
descriptionAim To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. Methods We retrospectively reviewed the outcomes for 41 free flaps from the ipsilateral extremity in the reconstruction of finger defects in 41 patients with small/moderate skin defects, including 11 AVFs, 10 SPBRA flaps, 10 PIPFs, and 10 UAPF flaps. Standardized assessment of outcomes was performed, including duration of operation, objective sensory recovery, cold intolerance, time of returning to work, active total range of motion (ROM) of the injured fingers, and the cosmetic appearance of the donor/recipient sites. Results All flaps survived completely, and the follow-up duration was 13.5 months. The mean duration of the complete surgical procedure for AVFs was distinctly shorter than that of the other flaps ( p <0.05). AVFs were employed to reconstruct skin defects and extensor tendon defects using a vascularized palmaris longus graft in 4 fingers. Digital blood supply was reestablished in 4 fingers by flow-through technique when using AVFs. Optimal sensory recovery was better with AVFs and SPBRA flaps as compared with UAPF flaps and PIPFs ( p <0.05). No significant differences were noted in ROM or cold intolerance between the 4 groups. Optimal cosmetic satisfaction was noted for the recipient sites of AVFs and the donor sites of SPBRA flaps. The number of second-stage defatting operations required for AVFs was considerably lesser than that for the other flaps. Conclusion All 4 types of free flaps from the ipsilateral extremity are a practical choice in finger reconstruction for small/moderate-sized skin defects. AVFs play an important role in such operations due to the wider indications, and better sensory recovery and cosmetic appearance associated with this method.
source
version7
lds50peer_reviewed
links
openurl$$Topenurl_article
openurlfulltext$$Topenurlfull_article
search
creatorcontrib
0Liu, Yujie
1Jiao, Hongsheng
2Ji, Xiang
3Liu, Chunlei
4Zhong, Xiaopen
5Zhang, Hongxun
6Ding, Xiaohen
7Cao, Xuecheng
8Santanelli, Fabio
titleA Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction
descriptionAim To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. Methods We retrospectively reviewed the outcomes for 41 free flaps from the ipsilateral extremity in the reconstruction of finger defects in 41 patients with small/moderate skin defects, including 11 AVFs, 10 SPBRA flaps, 10 PIPFs, and 10 UAPF flaps. Standardized assessment of outcomes was performed, including duration of operation, objective sensory recovery, cold intolerance, time of returning to work, active total range of motion (ROM) of the injured fingers, and the cosmetic appearance of the donor/recipient sites. Results All flaps survived completely, and the follow-up duration was 13.5 months. The mean duration of the complete surgical procedure for AVFs was distinctly shorter than that of the other flaps ( p <0.05). AVFs were employed to reconstruct skin defects and extensor tendon defects using a vascularized palmaris longus graft in 4 fingers. Digital blood supply was reestablished in 4 fingers by flow-through technique when using AVFs. Optimal sensory recovery was better with AVFs and SPBRA flaps as compared with UAPF flaps and PIPFs ( p <0.05). No significant differences were noted in ROM or cold intolerance between the 4 groups. Optimal cosmetic satisfaction was noted for the recipient sites of AVFs and the donor sites of SPBRA flaps. The number of second-stage defatting operations required for AVFs was considerably lesser than that for the other flaps. Conclusion All 4 types of free flaps from the ipsilateral extremity are a practical choice in finger reconstruction for small/moderate-sized skin defects. AVFs play an important role in such operations due to the wider indications, and better sensory recovery and cosmetic appearance associated with this method.
subject
0Research Article
1Biology and Life Sciences
2Medicine and Health Sciences
general
025098605
14123926
210.1371/journal.pone.0104014
3PMC (PubMed Central)
sourceidpubmed_central
recordidpubmed_central4123926
issn
01932-6203
119326203
rsrctypearticle
creationdate2014
addtitlePLoS ONE
searchscopepubmed_central
scopepubmed_central
lsr30VSR-Enriched:[galeid, pages, pqid]
sort
titleA Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction
authorLiu, Yujie ; Jiao, Hongsheng ; Ji, Xiang ; Liu, Chunlei ; Zhong, Xiaopen ; Zhang, Hongxun ; Ding, Xiaohen ; Cao, Xuecheng
creationdate20140806
facets
frbrgroupid5566259260124789053
frbrtype5
newrecords20180411
creationdate2014
topic
0Research Article
1Biology And Life Sciences
2Medicine And Health Sciences
collectionPMC (PubMed Central)
prefilterarticles
rsrctypearticles
creatorcontrib
0Liu, Yujie
1Jiao, Hongsheng
2Ji, Xiang
3Liu, Chunlei
4Zhong, Xiaopen
5Zhang, Hongxun
6Ding, Xiaohen
7Cao, Xuecheng
8Santanelli, Fabio
jtitlePlos One
toplevelpeer_reviewed
delivery
delcategoryRemote Search Resource
fulltextfulltext
addata
aulast
0Liu
1Jiao
2Ji
3Zhong
4Zhang
5Ding
6Cao
7Santanelli
aufirst
0Yujie
1Hongsheng
2Xiang
3Chunlei
4Xiaopen
5Hongxun
6Xiaohen
7Xuecheng
8Fabio
au
0Liu, Yujie
1Jiao, Hongsheng
2Ji, Xiang
3Liu, Chunlei
4Zhong, Xiaopen
5Zhang, Hongxun
6Ding, Xiaohen
7Cao, Xuecheng
8Santanelli, Fabio
atitleA Comparative Study of Four Types of Free Flaps from the Ipsilateral Extremity for Finger Reconstruction
jtitlePLoS ONE
risdate20140806
volume9
issue8
eissn1932-6203
formatjournal
genrearticle
ristypeJOUR
abstractAim To compare the outcomes of finger reconstruction using arterialized venous flap (AVF), superficial palmar branch of the radial artery (SPBRA) flap, posterior interosseous perforator flap (PIPF), and ulnar artery perforator free (UAPF) flap harvested from the ipsilateral extremity. Methods We retrospectively reviewed the outcomes for 41 free flaps from the ipsilateral extremity in the reconstruction of finger defects in 41 patients with small/moderate skin defects, including 11 AVFs, 10 SPBRA flaps, 10 PIPFs, and 10 UAPF flaps. Standardized assessment of outcomes was performed, including duration of operation, objective sensory recovery, cold intolerance, time of returning to work, active total range of motion (ROM) of the injured fingers, and the cosmetic appearance of the donor/recipient sites. Results All flaps survived completely, and the follow-up duration was 13.5 months. The mean duration of the complete surgical procedure for AVFs was distinctly shorter than that of the other flaps ( p <0.05). AVFs were employed to reconstruct skin defects and extensor tendon defects using a vascularized palmaris longus graft in 4 fingers. Digital blood supply was reestablished in 4 fingers by flow-through technique when using AVFs. Optimal sensory recovery was better with AVFs and SPBRA flaps as compared with UAPF flaps and PIPFs ( p <0.05). No significant differences were noted in ROM or cold intolerance between the 4 groups. Optimal cosmetic satisfaction was noted for the recipient sites of AVFs and the donor sites of SPBRA flaps. The number of second-stage defatting operations required for AVFs was considerably lesser than that for the other flaps. Conclusion All 4 types of free flaps from the ipsilateral extremity are a practical choice in finger reconstruction for small/moderate-sized skin defects. AVFs play an important role in such operations due to the wider indications, and better sensory recovery and cosmetic appearance associated with this method.
pubPublic Library of Science
doi10.1371/journal.pone.0104014
pmid25098605
pagese104014
oafree_for_read
date2014-08-06