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Related Experiment Videos

Thenar "H-flap" for fingertip injuries

R J Smith, R Albin

    The Journal of Trauma
    |October 1, 1976
    PubMed
    Summary

    The thenar H-flap is an effective surgical method for severe fingertip injuries, particularly in younger patients needing bone coverage. This technique allows for wound closure in two stages, ensuring a painless and aesthetically pleasing outcome.

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    Area of Science:

    • Hand surgery
    • Reconstructive surgery
    • Trauma surgery

    Background:

    • Severe fingertip injuries pose significant reconstructive challenges.
    • Current treatment options may have limitations in achieving both functional and aesthetic outcomes.

    Purpose of the Study:

    • To evaluate the efficacy of the thenar H-flap for treating severe fingertip injuries.
    • To assess the outcomes regarding wound healing, donor site aesthetics, and patient comfort.

    Main Methods:

    • Surgical intervention using a thenar H-flap procedure.
    • Specific considerations for covering protruding bone in pediatric patients.
    • Two-stage surgical detachment of the flap at 10-14 days post-initial surgery.

    Main Results:

    • Successful treatment of severe fingertip injuries was observed.
    • The H-flap design facilitated wound closure within the two-stage process.
    • Painless and aesthetically satisfactory donor sites were achieved.

    Conclusions:

    • The thenar H-flap is a recommended and successful reconstructive option for severe fingertip injuries.
    • This technique offers advantages in wound management and donor site healing.
    • It provides a viable solution for both functional restoration and cosmetic results.

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