Spies, Christian K., Mueller, Lars P., Oppermann, Johannes, Langer, Martin F., Hohendorff, Bernd, Loew, Steffen and Unglaub, Frank (2020). Homodigital neurovascular island flap according to Venkataswami. Oper. Orthopade Traumatol., 32 (6). S. 477 - 486. MUNICH: URBAN & VOGEL. ISSN 1439-0981
Full text not available from this repository.Abstract
Objective. Reliable wound coverage of the fingertip and palmar aspect of the middle finger with a sensate flap in order to restore early function. Indications. Palmar, oblique pulp defects or amputations at the distal finger phalange with uncovered bone, tendons, and/or neurovascular structures. Contraindications. Peripheral perfusion deficiency, size of defect exceeding flap capacity, obliteration of the flap artery, i.e. contralateral finger artery. Surgical technique. Harvesting of adipocutane, midlateral triangle based on proper digital vessel flap; distal flap transposition and primary closure of the harvesting defect, flap dimension 4-5 mm larger than defect. Postoperative management. Finger splint for 2 weeks, followed by exercises with flap conditioning. Results. Very reliable defect coverage with 9% minor and temporary complications, all of which healed without consequences.
| Item Type: | Journal Article | ||||||||||||||||||||||||||||||||
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| URN: | urn:nbn:de:hbz:38-311479 | ||||||||||||||||||||||||||||||||
| DOI: | 10.1007/s00064-020-00681-9 | ||||||||||||||||||||||||||||||||
| Journal or Publication Title: | Oper. Orthopade Traumatol. | ||||||||||||||||||||||||||||||||
| Volume: | 32 | ||||||||||||||||||||||||||||||||
| Number: | 6 | ||||||||||||||||||||||||||||||||
| Page Range: | S. 477 - 486 | ||||||||||||||||||||||||||||||||
| Date: | 2020 | ||||||||||||||||||||||||||||||||
| Publisher: | URBAN & VOGEL | ||||||||||||||||||||||||||||||||
| Place of Publication: | MUNICH | ||||||||||||||||||||||||||||||||
| ISSN: | 1439-0981 | ||||||||||||||||||||||||||||||||
| Language: | German | ||||||||||||||||||||||||||||||||
| Faculty: | Unspecified | ||||||||||||||||||||||||||||||||
| Divisions: | Unspecified | ||||||||||||||||||||||||||||||||
| Subjects: | no entry | ||||||||||||||||||||||||||||||||
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| URI: | http://kups.ub.uni-koeln.de/id/eprint/31147 |
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