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[Plastic microsurgery of the fingers defects]
1Department of Plastic and Reconstructive Microsurgery, Moscow.
Khirurgiia
|January 1, 1997
Summary
Plastic surgery for hand defects using Littauer flaps can cause sensory mismatch. A modified microsurgical technique improves functional outcomes by better nerve integration, enhancing hand coordination.
Area of Science:
- Plastic surgery
- Microsurgery
- Hand surgery
Background:
- Analysis of plastic operations for small segmental hand defects using the "insular" Littauer flap.
- Evaluation of long-term results in 10 patients.
Observation:
- Patients reported a sensory difference between the transplanted and recipient finger.
- This sensory mismatch led to difficulties in coordinating operated hand movements.
Findings:
- A modified microsurgical technique was employed in 23 cases to address the sensory mismatch.
- Nerve coaptation involved cutting the nerve near the transplant edge and suturing it with the recipient finger's nerve.
Implications:
- The modified technique resulted in functional outcomes more aligned with the demands of the plastic region.
- Improved nerve integration enhances patient experience and functional recovery in hand reconstruction.