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Updated: May 27, 2026
09:41
Estimation of Contact Regions Between Hands and Objects During Human Multi-Digit Grasping
Published on: April 21, 2023
Digital coverage with flaps from the same or neighboring digits
L K Papatheodorou1, Z H Dailiana, S E Varitimidi
1Department of Orthopaedic Surgery, Faculty of Medicine, University of Thessalia, Larissa, Greece.
Hippokratia
|November 24, 2011
Summary
Flap reconstruction effectively addresses large soft tissue digital defects, offering good to excellent outcomes for both fingertip and proximal phalanx injuries. Meticulous surgical technique ensures successful flap survival and functional recovery.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Large soft tissue defects of the digits pose significant reconstructive challenges.
- Various flap techniques offer potential solutions for digital reconstruction.
Purpose of the Study:
- To evaluate the efficacy of different flap types in reconstructing large soft tissue digital defects.
- To elucidate indications, advantages, and disadvantages of various flaps for digital reconstruction.
Main Methods:
- A 6-year retrospective study involving 101 patients with 106 digital defect reconstructions.
- Utilized neurovascular island flaps, advancement flaps, thenar flaps, intermetacarpal flaps, and cross-finger flaps.
- Classified flaps based on defect location (distal vs. proximal/middle phalanges).
Main Results:
- All flaps demonstrated successful survival.
- Good or excellent subjective results were achieved in 69/73 distal defects and 29/31 proximal defects.
- Mean DASH scores were low (4.1 for island/advancement flaps, 3.34 for cross-finger flaps), indicating good functional outcomes.
Conclusions:
- Flap reconstruction is a reliable method for managing large soft tissue digital defects.
- Appropriate flap selection and precise surgical technique are crucial for achieving favorable outcomes.
- The study provides valuable insights into the indications and results of various flaps for digital reconstruction.
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