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Innervated Local Flap Reconstruction for Digital Soft Tissue Defects: A Systematic Review
Ines Prasidha1, Joshua Xu2,3,4, Owen Ou Yang1
1Department of Hand Surgery, Fairfield Hospital, Prairiewood, New South Wales, Australia.
None:
Restoration of tactile sensation in fingertip reconstruction is essential for hand function. This systematic review aimed to evaluate differences in the outcomes of innervated (IF) and noninnervated local flap (NIF) reconstruction for digital soft tissue defects. PubMed, MEDLINE, Cochrane, and EMBASE databases were systematically searched. English-language articles reporting sensibility outcomes were included. Eleven studies, published between 1983 and 2023, with a total of 591 flaps were included in the analysis. The sensibility outcome of the reconstructed fingers in IF is significantly better than that of NIF. Neurorrhaphy should be performed in local flap fingertip reconstruction to improve the sensory outcome.
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