Archives of Reconstructive Microsurgery
- Volume 22 Issue 2
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- Pages.63-68
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- 2013
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- 2383-5257(pISSN)
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- 2288-6184(eISSN)
Free Flap Coverage of the Finger Defect Caused by Digital Replantation Failure
- Shim, Jung-Hwan (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine) ;
- Jeong, Seong-Ho (Department of Plastic and Reconstructive Surgery, Korea University College of Medicine)
- Received : 2013.11.20
- Accepted : 2013.11.25
- Published : 2013.11.30
Abstract
Purpose: In case of the failed replantation, if the patients want to preserve the length of amputated stump, toe transfer is the ideal choice. However, reconstruction of these amputated stump with a free flap can be a useful method when the patients refuse sacrificing their toe. Our purpose of this study is to evaluate availability of functional results and patient satisfaction after this procedure. Materials and Methods: From March 2008 to February 2012, we reconstructed the amputated stump with free flap by patients demand. Eleven patients were included, medial plantar artery perforator flap in seven cases and great toe pulp flap in five cases. Follow-up range 12 to 24 months and we evaluate patient satisfaction by using a visual analogue scale (VAS; 1=unsatisfied, 5=excellent) and functional recovery by measuring the range of motion of remaining joint at 12 months after operation. Results: During follow-up period, all transferred free flaps survived and no major complications were noted. Range of motion of remaining joint appeared satisfactory result (