Limits and indications of the dorsal transposition flap: Critical evaluation of 15 cases

The dorsal transposition flap was used in 15 cases of distal fingertip amputation. The amputations were either oblique ulnar, oblique radial, oblique palmar, or transverse. Two flaps developed partial necrosis. Flat nail growth always occurred, but the nail was considered short in 4 cases due to a p...

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Veröffentlicht in:The Journal of hand surgery (American ed.) 2001-03, Vol.26 (2), p.277-282
Hauptverfasser: Pelissier, Philippe, Genin-Etcheberry, Thierry, Casoli, Vincent, Pistre, Vincent, Martin, Dominique, Baudet, Jacques
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container_end_page 282
container_issue 2
container_start_page 277
container_title The Journal of hand surgery (American ed.)
container_volume 26
creator Pelissier, Philippe
Genin-Etcheberry, Thierry
Casoli, Vincent
Pistre, Vincent
Martin, Dominique
Baudet, Jacques
description The dorsal transposition flap was used in 15 cases of distal fingertip amputation. The amputations were either oblique ulnar, oblique radial, oblique palmar, or transverse. Two flaps developed partial necrosis. Flat nail growth always occurred, but the nail was considered short in 4 cases due to a proximal amputation through the nail bed. The mean 2-point discrimination test result was 8 mm. Distal interphalangeal joint range of motion was normal in 5 cases. Four cases lacked 10° from full extension, 9 cases lacked up to 20° from full flexion, and 1 case lacked 35°. Even if this procedure is simple, reliable, and fast, due to its limited size and arc of rotation, as well as its poor sensibility, this flap may only be indicated for oblique ulnar fingertip amputations. (J Hand Surg 2001;26A:277-282. Copyright © 2001 by the American Society for Surgery of the Hand.)
doi_str_mv 10.1053/jhsu.2001.22909
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The amputations were either oblique ulnar, oblique radial, oblique palmar, or transverse. Two flaps developed partial necrosis. Flat nail growth always occurred, but the nail was considered short in 4 cases due to a proximal amputation through the nail bed. The mean 2-point discrimination test result was 8 mm. Distal interphalangeal joint range of motion was normal in 5 cases. Four cases lacked 10° from full extension, 9 cases lacked up to 20° from full flexion, and 1 case lacked 35°. Even if this procedure is simple, reliable, and fast, due to its limited size and arc of rotation, as well as its poor sensibility, this flap may only be indicated for oblique ulnar fingertip amputations. (J Hand Surg 2001;26A:277-282. 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The amputations were either oblique ulnar, oblique radial, oblique palmar, or transverse. Two flaps developed partial necrosis. Flat nail growth always occurred, but the nail was considered short in 4 cases due to a proximal amputation through the nail bed. The mean 2-point discrimination test result was 8 mm. Distal interphalangeal joint range of motion was normal in 5 cases. Four cases lacked 10° from full extension, 9 cases lacked up to 20° from full flexion, and 1 case lacked 35°. Even if this procedure is simple, reliable, and fast, due to its limited size and arc of rotation, as well as its poor sensibility, this flap may only be indicated for oblique ulnar fingertip amputations. (J Hand Surg 2001;26A:277-282. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Adolescent
Adult
Aged
Amputation
Biological and medical sciences
Female
Finger Injuries - surgery
Fingertip
flap
Humans
Male
Medical sciences
Middle Aged
Orthopedic surgery
Range of Motion, Articular
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgical Flaps
Treatment Outcome
title Limits and indications of the dorsal transposition flap: Critical evaluation of 15 cases
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