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Related Experiment Videos

The Double Thenar Flap: A Technique to Reconstruct 2 Fingertip Amputations Simultaneously.

Daniel B Polatsch1, Remy V Rabinovich2, Steven Beldner1

  • 1New York Hand and Wrist Center of Lenox Hill, New York, NY.

The Journal of Hand Surgery
|April 3, 2017
PubMed
Summary

Reconstructing fingertip injuries with significant soft tissue loss can be challenging. A novel double thenar flap technique effectively addressed simultaneous injuries to two fingers, offering a new option for complex cases.

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Area of Science:

  • Hand surgery
  • Reconstructive surgery
  • Trauma surgery

Background:

  • Fingertip injuries are common, often involving pulp loss and exposed bone, necessitating functional and aesthetic reconstruction.
  • Current treatment strategies lack robust evidence due to limited prospective randomized clinical trials comparing various reconstructive methods.
  • Decision-making for fingertip reconstruction often relies on surgeon expertise and patient-specific injury characteristics.

Observation:

  • Simultaneous injuries to two fingers present unique reconstructive challenges with scarce literature on surgical options.
  • The presented case involves significant distal soft tissue loss and exposed bone in two adjacent fingertips.
  • Existing reconstructive techniques like local advancement, thenar, and cross-finger flaps are described but may not be optimal for multiple simultaneous injuries.
Keywords:
Fingertip amputationmultiple digitspulp lossregional flapthenar flap

Related Experiment Videos

Findings:

  • A novel double thenar flap technique was successfully employed to reconstruct two simultaneously injured fingertips.
  • This technique addresses substantial soft tissue loss and exposed bone in multiple digits.
  • The double thenar flap offers a viable solution for complex, simultaneous fingertip trauma.

Implications:

  • This novel technique expands the armamentarium for managing complex fingertip injuries, particularly when multiple digits are involved.
  • It provides a potential solution for cases where traditional methods may be insufficient.
  • Further investigation and case studies are warranted to establish the efficacy and indications for the double thenar flap in fingertip reconstruction.