Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study
Few cases are reported on the treatment of defects on the volar surface of the finger, and its utility for digital resurfacing remains unclear. This study compared the outcomes of the free medial plantar artery flap (MPAF) and dorsal digital–metacarpal flap (DDMF) in finger reconstruction.
This cohort study was conducted on 24 patients who had soft-tissue defects on the volar side of the finger from March 2014 to March 2017. The patients were divided into the following 2 groups: the MPAF group and the DDMF group. The operative time as well as complications, including flap necrosis, graft loss, infection, paresthesia, donor-site morbidity, and two-point discrimination (2-PD) were carefully recorded. The Michigan Hand Outcomes Questionnaire (MHQ) was applied to conduct follow-up assessment.
After more than 12 months of follow-up, the results were significant. In terms of overall function, MPAF was superior to DDMF (p < 0.005).
The MPAF and the DDMF are available and reliable for reconstruction of the volar surface of the finger; however, the MPAF offers better functional outcomes with a lower frequency of postoperative complications.
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On 02 Dec, 2020
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Received 29 Aug, 2020
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On 28 Aug, 2020
On 20 Aug, 2020
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On 19 Aug, 2020
Posted 11 Aug, 2020
On 06 Aug, 2020
On 05 Aug, 2020
On 05 Aug, 2020
Treatment of Defects on the Volar Surface of the Finger using the Dorsal Digital–metacarpal Flap Versus the Free Medial Plantar Artery Flap: A Comparative Study
On 02 Dec, 2020
On 18 Nov, 2020
On 16 Nov, 2020
On 16 Nov, 2020
On 16 Nov, 2020
On 05 Nov, 2020
On 03 Nov, 2020
Received 03 Nov, 2020
Invitations sent on 28 Oct, 2020
On 28 Oct, 2020
Received 28 Oct, 2020
On 28 Oct, 2020
On 27 Oct, 2020
On 27 Oct, 2020
Posted 11 Aug, 2020
On 22 Sep, 2020
Received 20 Sep, 2020
Received 09 Sep, 2020
On 05 Sep, 2020
On 30 Aug, 2020
Received 29 Aug, 2020
Invitations sent on 28 Aug, 2020
On 28 Aug, 2020
On 20 Aug, 2020
On 19 Aug, 2020
On 19 Aug, 2020
Posted 11 Aug, 2020
On 06 Aug, 2020
On 05 Aug, 2020
On 05 Aug, 2020
Few cases are reported on the treatment of defects on the volar surface of the finger, and its utility for digital resurfacing remains unclear. This study compared the outcomes of the free medial plantar artery flap (MPAF) and dorsal digital–metacarpal flap (DDMF) in finger reconstruction.
This cohort study was conducted on 24 patients who had soft-tissue defects on the volar side of the finger from March 2014 to March 2017. The patients were divided into the following 2 groups: the MPAF group and the DDMF group. The operative time as well as complications, including flap necrosis, graft loss, infection, paresthesia, donor-site morbidity, and two-point discrimination (2-PD) were carefully recorded. The Michigan Hand Outcomes Questionnaire (MHQ) was applied to conduct follow-up assessment.
After more than 12 months of follow-up, the results were significant. In terms of overall function, MPAF was superior to DDMF (p < 0.005).
The MPAF and the DDMF are available and reliable for reconstruction of the volar surface of the finger; however, the MPAF offers better functional outcomes with a lower frequency of postoperative complications.
Figure 1
Figure 2