Soft tissue reconstruction with small free flaps in hand and finger defects
Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial a...
Ausführliche Beschreibung
Gespeichert in:
| Autor*in: |
Aksoy, Alper [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
Free posterior interosseous artery perforator flap Hypothenar free perforator flap Free SUPBRA (superficial palmar branch of the radial artery) flap |
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| Anmerkung: |
© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| Übergeordnetes Werk: |
Enthalten in: European journal of plastic surgery - Berlin : Springer, 1986, 46(2023), 6 vom: 26. Sept., Seite 1283-1291 |
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| Übergeordnetes Werk: |
volume:46 ; year:2023 ; number:6 ; day:26 ; month:09 ; pages:1283-1291 |
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| DOI / URN: |
10.1007/s00238-023-02128-3 |
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| Katalog-ID: |
SPR053954491 |
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| 520 | |a Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. | ||
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10.1007/s00238-023-02128-3 doi (DE-627)SPR053954491 (SPR)s00238-023-02128-3-e DE-627 ger DE-627 rakwb eng Aksoy, Alper verfasserin (orcid)0000-0002-8993-4103 aut Soft tissue reconstruction with small free flaps in hand and finger defects 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 Tuluy, Yavuz (orcid)0000-0002-5451-4459 aut Sır, Emin (orcid)0000-0001-7462-1721 aut Acaban, M Baver (orcid)0000-0002-5062-6197 aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 6 vom: 26. Sept., Seite 1283-1291 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 https://dx.doi.org/10.1007/s00238-023-02128-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 6 26 09 1283-1291 |
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10.1007/s00238-023-02128-3 doi (DE-627)SPR053954491 (SPR)s00238-023-02128-3-e DE-627 ger DE-627 rakwb eng Aksoy, Alper verfasserin (orcid)0000-0002-8993-4103 aut Soft tissue reconstruction with small free flaps in hand and finger defects 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 Tuluy, Yavuz (orcid)0000-0002-5451-4459 aut Sır, Emin (orcid)0000-0001-7462-1721 aut Acaban, M Baver (orcid)0000-0002-5062-6197 aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 6 vom: 26. Sept., Seite 1283-1291 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 https://dx.doi.org/10.1007/s00238-023-02128-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 6 26 09 1283-1291 |
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10.1007/s00238-023-02128-3 doi (DE-627)SPR053954491 (SPR)s00238-023-02128-3-e DE-627 ger DE-627 rakwb eng Aksoy, Alper verfasserin (orcid)0000-0002-8993-4103 aut Soft tissue reconstruction with small free flaps in hand and finger defects 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 Tuluy, Yavuz (orcid)0000-0002-5451-4459 aut Sır, Emin (orcid)0000-0001-7462-1721 aut Acaban, M Baver (orcid)0000-0002-5062-6197 aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 6 vom: 26. Sept., Seite 1283-1291 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 https://dx.doi.org/10.1007/s00238-023-02128-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 6 26 09 1283-1291 |
| allfieldsGer |
10.1007/s00238-023-02128-3 doi (DE-627)SPR053954491 (SPR)s00238-023-02128-3-e DE-627 ger DE-627 rakwb eng Aksoy, Alper verfasserin (orcid)0000-0002-8993-4103 aut Soft tissue reconstruction with small free flaps in hand and finger defects 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 Tuluy, Yavuz (orcid)0000-0002-5451-4459 aut Sır, Emin (orcid)0000-0001-7462-1721 aut Acaban, M Baver (orcid)0000-0002-5062-6197 aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 6 vom: 26. Sept., Seite 1283-1291 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 https://dx.doi.org/10.1007/s00238-023-02128-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 6 26 09 1283-1291 |
| allfieldsSound |
10.1007/s00238-023-02128-3 doi (DE-627)SPR053954491 (SPR)s00238-023-02128-3-e DE-627 ger DE-627 rakwb eng Aksoy, Alper verfasserin (orcid)0000-0002-8993-4103 aut Soft tissue reconstruction with small free flaps in hand and finger defects 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 Tuluy, Yavuz (orcid)0000-0002-5451-4459 aut Sır, Emin (orcid)0000-0001-7462-1721 aut Acaban, M Baver (orcid)0000-0002-5062-6197 aut Enthalten in European journal of plastic surgery Berlin : Springer, 1986 46(2023), 6 vom: 26. Sept., Seite 1283-1291 (DE-627)265508436 (DE-600)1464220-7 1435-0130 nnns volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 https://dx.doi.org/10.1007/s00238-023-02128-3 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_32 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_101 GBV_ILN_105 GBV_ILN_110 GBV_ILN_120 GBV_ILN_138 GBV_ILN_150 GBV_ILN_151 GBV_ILN_152 GBV_ILN_161 GBV_ILN_170 GBV_ILN_171 GBV_ILN_187 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_250 GBV_ILN_267 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_636 GBV_ILN_702 GBV_ILN_711 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2004 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2031 GBV_ILN_2034 GBV_ILN_2037 GBV_ILN_2038 GBV_ILN_2039 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2065 GBV_ILN_2068 GBV_ILN_2088 GBV_ILN_2093 GBV_ILN_2106 GBV_ILN_2107 GBV_ILN_2108 GBV_ILN_2110 GBV_ILN_2111 GBV_ILN_2112 GBV_ILN_2113 GBV_ILN_2118 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2144 GBV_ILN_2147 GBV_ILN_2148 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2188 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2446 GBV_ILN_2470 GBV_ILN_2472 GBV_ILN_2507 GBV_ILN_2522 GBV_ILN_2548 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4046 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4246 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4328 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4335 GBV_ILN_4336 GBV_ILN_4338 GBV_ILN_4393 GBV_ILN_4700 AR 46 2023 6 26 09 1283-1291 |
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Enthalten in European journal of plastic surgery 46(2023), 6 vom: 26. Sept., Seite 1283-1291 volume:46 year:2023 number:6 day:26 month:09 pages:1283-1291 |
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Aksoy, Alper @@aut@@ Tuluy, Yavuz @@aut@@ Sır, Emin @@aut@@ Acaban, M Baver @@aut@@ |
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<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000naa a22002652 4500</leader><controlfield tag="001">SPR053954491</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20231203064613.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">231203s2023 xx |||||o 00| ||eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1007/s00238-023-02128-3</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)SPR053954491</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(SPR)s00238-023-02128-3-e</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="100" ind1="1" ind2=" "><subfield code="a">Aksoy, Alper</subfield><subfield code="e">verfasserin</subfield><subfield code="0">(orcid)0000-0002-8993-4103</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Soft tissue reconstruction with small free flaps in hand and finger defects</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2023</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="500" ind1=" " ind2=" "><subfield code="a">© The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. 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Aksoy, Alper |
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Aksoy, Alper misc Free posterior interosseous artery perforator flap misc Hypothenar free perforator flap misc Free SUPBRA (superficial palmar branch of the radial artery) flap Soft tissue reconstruction with small free flaps in hand and finger defects |
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Soft tissue reconstruction with small free flaps in hand and finger defects Free posterior interosseous artery perforator flap (dpeaa)DE-He213 Hypothenar free perforator flap (dpeaa)DE-He213 Free SUPBRA (superficial palmar branch of the radial artery) flap (dpeaa)DE-He213 |
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misc Free posterior interosseous artery perforator flap misc Hypothenar free perforator flap misc Free SUPBRA (superficial palmar branch of the radial artery) flap |
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misc Free posterior interosseous artery perforator flap misc Hypothenar free perforator flap misc Free SUPBRA (superficial palmar branch of the radial artery) flap |
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misc Free posterior interosseous artery perforator flap misc Hypothenar free perforator flap misc Free SUPBRA (superficial palmar branch of the radial artery) flap |
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Elektronische Aufsätze Aufsätze Elektronische Ressource |
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Soft tissue reconstruction with small free flaps in hand and finger defects |
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Soft tissue reconstruction with small free flaps in hand and finger defects |
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Aksoy, Alper |
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European journal of plastic surgery |
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Aksoy, Alper Tuluy, Yavuz Sır, Emin Acaban, M Baver |
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Aksoy, Alper |
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soft tissue reconstruction with small free flaps in hand and finger defects |
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Soft tissue reconstruction with small free flaps in hand and finger defects |
| abstract |
Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstractGer |
Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
| abstract_unstemmed |
Background With the technological and technical improvements in microsurgery, the defect reconstruction with free flaps has increased in hand surgery. In this study, we aimed to evaluate the results of free posterior interosseous perforator (PIAP) flap, free superficial palmar branch of the radial artery (SUPBRA) flap and hypothenar free perforator flap in hand and finger defects. Methods A total of 58 patients who were operated between 2017 and 2021 were included in the study. Hand defects of patients occurred due to industrial accidents and reconstructed by using free SUPBRA, free PIAP and hypothenar free perforator flaps were included into the study. Demographics of patients, characteristics of the flaps and complications were evaluated retrospectively. Results Twenty eight free SUPBRA flap, 12 hypothenar free perforator flap and 18 free PIAP flap surgeries were performed. Static and dynamic two-point discrimination tests were evaluated and acceptable results were obtained. Donor site scar was compared with the non-operated side by using visual analogue scale (VAS). The median VAS values were calculated as 8 for three different flaps. Total necrosis developed in 3 patients. Other complications are hematoma, partial necrosis and wound dehiscence in the donor area. Conclusion We obtained good aesthetic and functional results by using free small flaps in hand and finger defects. As the experience of perforator-to-perforator anastomosis increases, the use of these flaps in the reconstruction of hand defects is increasing. Level of evidence: Level III, Therapeutic. © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law. |
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| title_short |
Soft tissue reconstruction with small free flaps in hand and finger defects |
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https://dx.doi.org/10.1007/s00238-023-02128-3 |
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Tuluy, Yavuz Sır, Emin Acaban, M Baver |
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2024-07-03T23:06:56.015Z |
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| score |
7.3995066 |