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Related Experiment Video

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Fingertip defect reconstruction with a modified pivot flap.

Giovanna Petrella1, Daniele Tosi1, Gianluca Sapino1

  • 1Department of Hand Surgery and Microsurgery, University Hospital of Modena, Modena, Italy.

The Journal of Hand Surgery, European Volume
|September 24, 2020
PubMed
Summary
This summary is machine-generated.

The modified pivot flap offers a reliable method for reconstructing fingertip defects distal to the joint. This surgical technique shows promising results for sensitivity and functional recovery in patients.

Keywords:
Pivot flapfingerfingertippulp defect

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Area of Science:

  • Hand surgery
  • Reconstructive surgery
  • Microsurgery

Background:

  • Fingertip defects distal to the distal interphalangeal joint present a reconstructive challenge.
  • The pivot flap is a potential solution for such defects.

Purpose of the Study:

  • To present the experience with a modified pivot flap for fingertip reconstruction.
  • To evaluate the outcomes, including sensitivity and functional recovery, of this technique.

Main Methods:

  • A retrospective review of 11 patients (11 fingers) who underwent fingertip reconstruction using a modified pivot flap.
  • Flap harvesting, mobilization, inset, and vascular supply were optimized.
  • Postoperative evaluation included Semmes-Weinstein monofilaments test, static two-point discrimination, and assessment of cold intolerance.

Main Results:

  • The average flap size was 2.4 × 2.0 cm.
  • Average follow-up was 21 months (range 12–36 months).
  • The modified pivot flap demonstrated reliable reconstruction with promising results for sensitivity and functional recovery.

Conclusions:

  • The modified pivot flap is a reliable technique for reconstructing volar oblique defects of the fingertip.
  • The technique shows promising outcomes regarding sensory recovery and overall function.