Fingertip injuries are a common problem. There may be pulp loss and exposed bone.
Various techniques have been described to reconstruct function as well as aesthetics;
yet it is still unclear which treatment options should be chosen for each specific
injury. Evidence-based treatment strategies are limited because there are no prospective
randomized clinical trials evaluating one method with another. Fingertip injuries
are usually variable in their presentation, and therefore treatment decisions are
often dictated by the knowledge and expertise of the treating physician combined with
the patient’s unique injury. With exposed bone and major distal soft tissue loss,
many reconstructive techniques have been well-described including local advancement
flaps, thenar flaps, and cross-finger flaps. There is scarce literature discussing
surgical options when multiple fingers are involved. This report details a novel technique
used to reconstruct 2 simultaneously injured fingers using the double thenar flap.
Key words
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References
- Conservative management of finger tip injuries in adults.Hand. 1980; 12: 257-265
- Comparison of three types of treatment modalities on the outcome of fingertip injuries.J Trauma Acute Care Surg. 2012; 72: 1681-1687
- The cross-finger flap: an established reconstructive procedure.Hand Clin. 1985; 1: 677-683
- The thenar flap—an analysis of its use in 150 cases.J Hand Surg Am. 1982; 7: 291-297
- Functional assessment of transplanted skin in volar defects of the digits: a comparison between free grafts and flaps.J Bone Joint Surg Am. 1968; 50: 955-963
- The late results of finger-tip injuries.Br J Plast Surg. 1955; 8: 38-43
- Pediatric thenar flaps: a modified design, case series and review of the literature.J Pediatr Surg. 2014; 49: 1433-1438
Article info
Publication history
Published online: March 29, 2017
Accepted:
February 21,
2017
Received:
August 24,
2016
Footnotes
No benefits in any form have been received or will be received related directly or indirectly to the subject of this article.
Identification
Copyright
© 2017 by the American Society for Surgery of the Hand. All rights reserved.
