Evaluation of Neurotized Hypothenar Free Perforator Flaps Used for Fingertip Reconstruction

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dc.authoridAKSOY, Alper/0000-0002-8993-4103
dc.authoridDagdelen, Daghan/0000-0002-2523-9195
dc.authorwosidDagdelen, Daghan/JNE-9049-2023
dc.authorwosidAKSOY, Alper/D-1289-2017
dc.authorwosidDagdelen, Daghan/Y-8418-2018
dc.contributor.authorDagdelen, Daghan
dc.contributor.authorAksoy, Alper
dc.date.accessioned2024-06-12T11:09:11Z
dc.date.available2024-06-12T11:09:11Z
dc.date.issued2020
dc.departmentTrakya Üniversitesien_US
dc.description.abstractIntroduction In reconstruction of digital amputations of the upper extremity, composite tissue alternatives with similar features are limited for finger tip reconstruction. Among these alternatives, free perforator flaps elevated from the hypothenar region (HFPFs) are defined, but reluctancy goes on for utilization of these flaps. In this study, we aimed to highlight the sensory results of HFPFs when a neural repair is incorporated to the flap and also to justify their usage by presenting functional and aesthetic outcomes of the reconstructions performed with HFPFs. Methods This clinical study was conducted from June 2015 to June 2017. Twelve patients with acute finger tip amputations were examined. Distal amputation levels were subgrouped according to Ishikawa classification. Patient demographics and amputation etiology were listed. All fingertip defects were reconstructed with a neurotized HFPF. All perforator anastomoses were performed in an end-to-end fashion. During follow-up, 2-point discrimination and dynamometric test were conducted. In addition, the Michigan Hand Outcomes Questionnaire was carried out. Evaluation of the results from a cosmetic standpoint was also conducted, with 4 blinded, independent surgeons using the visual analog scale. Results Of 12 digital amputations reconstructed with neurotized HFPFs, 10 were totally viable during follow-up, whereas partial loss was observed in 2 flaps. The mean age was 38.8 +/- 11.8 years. Most of the amputations were classified as Ishikawa subgroup 2 (50%). The mean dynamic 2-point discrimination was 3.2 +/- 0.11 mm and slightly greater compared with contralateral digit (P = 0.003). Also minor decreases were measured in forced grip and pulp-to-pulp grip strengths (P = 0.003). Overall satisfaction was 92.7% in Michigan Hand Outcomes Questionnaire. Average visual analog scale score was 7.25 out of 10. Conclusions Hypothenar free perforator flaps, with incorporation of neural repair, give promising results for reconstruction of the fingertip. In addition to superior sensorial outcomes, HFPFs yield satisfying results from aesthetic and functional perspectives.en_US
dc.identifier.doi10.1097/SAP.0000000000001973
dc.identifier.endpageE6en_US
dc.identifier.issn0148-7043
dc.identifier.issn1536-3708
dc.identifier.issue2en_US
dc.identifier.pmid31513082en_US
dc.identifier.scopus2-s2.0-85077767129en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpageE1en_US
dc.identifier.urihttps://doi.org/10.1097/SAP.0000000000001973
dc.identifier.urihttps://hdl.handle.net/20.500.14551/22706
dc.identifier.volume84en_US
dc.identifier.wosWOS:000508382300001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofAnnals Of Plastic Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectNeurotized Perforator Flapsen_US
dc.subjectPerforator Flapsen_US
dc.subjectPulp Reconstructionen_US
dc.subjectSupermicrosurgeryen_US
dc.subjectHanden_US
dc.titleEvaluation of Neurotized Hypothenar Free Perforator Flaps Used for Fingertip Reconstructionen_US
dc.typeArticleen_US

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