Evaluation of The Effectiveness of Extreme Atasoy Flap in The Reconstruction of Apical Injuries of The Fingers | ||
| Suez Canal University Medical Journal | ||
| Article 2, Volume 26, Issue 3, March 2023, Pages 9-15 PDF (582.97 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/scumj.2023.305000 | ||
| Authors | ||
| Mahmoud M. Shaker* ; Amr Moghazy; Osama A. Adly; Ahmad Elhussein | ||
| Department of Surgery, Faculty of Medicine, Suez Canal University, Ismailia, Egypt | ||
| Abstract | ||
| Aim: Decreasing patient morbidity and enhancing satisfaction with the aesthetic outcome and function of fingertip injuries. Methods: In this uncontrolled clinical trial study, 20 patients with fingertip injuries were evaluated. The functional outcome is determined using two points discrimination test, assessment of healing time, operative time as well as partial and complete flap necrosis. While the aesthetic outcome is evaluated using VAS for pain. Results: Only one major complication was present. The average healing time was 4 weeks. The patients reported good aesthetic and functional outcomes. Conclusion: Extreme Atasoy flap is a reliable choice for coverage of fingertip injuries, Ishikawa zones 1 and 2, and even distal zone 3. It could be mobilized safely up to 20 mm and cover oblique defects. The good esthetic outcome, color match, good sensation, and very low donor area morbidity recommend it to be the first choice in fingertip distal half reconstruction in cases of tissue loss, with or without bony loss. | ||
| Keywords | ||
| Fingertip amputation; fingertip reconstruction, V-Y flap; island flap, oblique defect, rotational flap | ||
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