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Pulp Reconstruction of Fingers with Very Small Sensate Medial Plantar Free Flap

Authors
 Hoon-Bum Lee  ;  Kwan-Chul Tark  ;  Dong-Kyun Rah  ;  Keuk-Shun Shin 
Citation
 PLASTIC AND RECONSTRUCTIVE SURGERY, Vol.101(4) : 999-1005, 1998 
Journal Title
 PLASTIC AND RECONSTRUCTIVE SURGERY 
ISSN
 0032-1052 
Issue Date
1998
MeSH
Adult ; Finger Injuries/physiopathology ; Finger Injuries/surgery* ; Fingers/innervation ; Foot ; Humans ; Male ; Middle Aged ; Reconstructive Surgical Procedures/methods ; Surgical Flaps*/innervation ; Touch
Abstract
The essence in dealing with the pulp deficit accompanying fingertip injuries lies in functional restitution of the inherent skin texture and characteristics unique to that area and sufficient preservation of digital length, along with successful restoration of fine tactile sensation indispensable to delicate and skillful maneuvers. Among various techniques used to meet such demands, the very small sensate medial plantar free flap can be considered an excellent method in view of the skin texture that allows firm grasping, durability to friction rub, a cushion effect, and adequate sensation. Six cases of finger pulp reconstruction with the very small sensate medial plantar free flap are presented. At follow-up examination (an average follow-up of 24.3 months), the patients were evaluated clinically and neurologically. The operative procedures, advantages, and results in clinical cases are presented. Satisfactory results were obtained with sufficient preservation of digital length and good sensory recovery. No functional deficit was found at the donor site.
Full Text
https://oce.ovid.com/article/00006534-199804000-00017/PDF
DOI
10.1097/00006534-199804040-00017
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Plastic and Reconstructive Surgery (성형외과학교실) > 1. Journal Papers
Yonsei Authors
Rah, Dong Kyun(나동균)
Tark, Kwan Chul(탁관철)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/176934
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