Donor-Site Morbidity after Partial Second Toe Pulp Free Flap for Fingertip Reconstruction

Kim, Hyung Su; Lee, Dong Chul; Kim, Jin Soo; Roh, Si Young; Lee, Kyung Jin; Yang, Jae Won; Ki, Sae Hwi; Harijan, Aram

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자료유형: 학술저널

저자정보: Kim, Hyung Su (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Lee, Dong Chul (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Kim, Jin Soo (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Roh, Si Young (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Lee, Kyung Jin (Department of Plastic and Reconstructive Surgery, Gwangmyeong Sungae General Hospital) Yang, Jae Won (Plastic Surgery, Gangnam Jaejun Plastic Clinic for Hand and Micro) Ki, Sae Hwi (Department of Plastic and Reconstructive Surgery, Inha University School of Medicine) Harijan, Aram (Well Plastic Surgery)

저널정보: 대한성형외과학회 Archives of plastic surgery : APS Archives of plastic surgery : APS 제43권 제1호

발행연도: 2016.1

수록면: 66 - 70 (5page)

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Background In this study, we characterize the morbidity at the donor-site of partial second toe pulp free flaps in terms of wound management as well as long-term outcomes. Methods A single-institutional retrospective review was performed for patients who had undergone partial second toe pulp free flap transfer to the fingertip. Patient charts were reviewed for infection, skin necrosis, wound dehiscence, and hematoma for the donor site. Additionally, a questionnaire survey was given to patients who had a follow-up of longer than 1 year to characterize long-term postoperative pain and appearance. Results The review identified a total of 246 cases. Early wound complications were significant for wound dehiscence (n=8) and hematoma (n=5) for a wound complication rate of 5.3%. The questionnaire was distributed to 109 patients, and 54 patients completed the survey. Out of these 54 patients, 15 patients continued to have donor-site pain (28%) at a mean follow-up period of 32.4 months. However, the pain intensity was relatively low in the range between 2 to 5, on a 0-10 scale. None of these patients felt this donor-site pain interfered significantly with daily activity, nor did any patient require pain medications of any type. Donor-site appearance was satisfactory to most patients. Conclusions The partial second toe pulp flap was associated with low rates of wound complications and favorable long-term outcomes. Given the functional and aesthetic gain in the recipient finger, donor-site morbidities appear acceptable in this patient population. This study can be helpful in counseling patients regarding donor-site morbidity during the informed consent process.

#Free tissue flaps #Transplant donor site #Morbidity

참고문헌 (12)

참고문헌 신청

Lee DC / 2008 / Partial second toe pulp free flap for fingertip reconstruction / Plast Reconstr Surg 121:899~907

Bickel KD / 2008 / Fingertip reconstruction / J Hand Surg Am 33:1417~1419

Lister G / 1985 / Local flaps to the hand / Hand Clin 1:621~640

Thoma A / 2010 / Making the V-Y advancement flap safer in fingertip amputations / Can J Plast Surg 18:e47~e49

O’Brien B / 1968 / Neurovascular island pedicle flaps for terminal amputations and digital scars / Br J Plast Surg 21:258~261

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