Use of reverse homodigital island flaps for the treatment of patients with traumatic finger defects
Zakar Khojabaghyan1, Kirill Pshenisnov2, Igor Golubev3, Elena Afonina4, Sergey Vinnik4, Ilya Makin5, Davit Abrahamyan1, Karen Petrosyan1
1 Department of Plastic and Reconstructive Surgery, Avdalbekyan National Institute of Health, MoH RA, Yerevan, Armenia
2 Department of Traumatology and Orthopedics, Yaroslavl State Medical University, MoH RF, Yaroslavl, Russia
3 FSBI “National Medical Research Center of Traumatology and Orthopedics named after N. Pirogov” (CITO), MoH RF, Moscow, Russia
4 Eighth traumatology department of hand surgery, recon structive and plastic surgery, SAHI of the Yaroslavl Region “N. Solovyov Clinical Hospital of Emergency Medical Care”, Yaroslavl, Russia
5 SBHI of the Yaroslavl Region “Regional Children’s Clinical Hospital”, Yaroslavl, Russia
ABSTRACT
One of the preferred methods for treating traumatic fingertip defects is the use of reverse homodigital island flaps. However, the long-term outcomes of this approach remain controversial in the literature. In this study, we evaluated the long-term results of treatment in 101 patients with fingertip defects, including 7 who underwent closure with reverse homodigital island flaps. Both objective and subjective assessment methods were employed, using the 10-point scales developed by our team, as well as the “Cold Intolerance Symptom Severity” score, which was also translated and adapted for the Russian-speaking population by our team. Our findings revealed that even after more than 10 years, the outcomes for patients treated with reverse homodigital island flaps were inferior to standard accepted benchmarks. Additionally, our study highlights the need for further investigation into the aesthetic outcomes and the impact of cold intolerance in patients with fingertip injuries.
Keywords: Reverse homodigital island flaps, Traumatic fingertip defects, Long-term outcomes, Cold intolerance, CISS, Aesthetic outcomes