Volume : IX, Issue : III, March - 2019

Heterodigital Neurovascular Island Flap for Volar Pulp Defects of Thumb

Prof. Dr. V. Ramadevi

Abstract :

To observe the results of Littler heterodigital island flap utilized in the treatment of pulp defects of the thumb. Twenty four patients who presented to our emergency department with defects on the distal tissue of the thumb, between December 2015 and December 2017 were included in the study. Twenty of the patients were male, four were female. Mean age was 40 (range, 30–55) years. Sixteen patients had tissue defects on their right thumb and eight on their left thumb. The sensory and functional outcomes and wound healing on the receiving site were evaluated. Additionally, we determined 2–point discrimination and cortical re–orientation. In all patients, the flap was healthy and no necrosis was observed. Mobility and stability of the thumb was optimal in all cases. In 2 patients, scar tissue development was observed at the donor site, but there was no functional deterioration. Sensory examination was normal in all patients. Mean value of 2–point discrimination was determined as 7 (range, 4–10) mm’s. Littler neurovascular island flap is an effective mode of treatmnt which re–establishes sensory ability in distal thumb injuries.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

HETERODIGITAL NEUROVASCULAR ISLAND FLAP FOR VOLAR PULP DEFECTS OF THUMB, Prof. Dr.V. Ramadevi INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-3 | March-2019

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