The Dorsal Homodigital Island Flap Based on the Dorsal Branch of the Digital Artery: A Review of 171 Cases

Not Applicable

Completed

• Conditions: Soft Tissue Defect; Sensory Reconstruction of Digits; Multiple Digital Defects
• Interventions: Procedure: The dorsal homodigital island flap

• Registration Number: NCT01871103
• Lead Sponsor: The Second Hospital of Tangshan

Brief Summary

Soft tissue reconstruction in the finger continues to evolve. The dorsum of the finger is a reliable flap donor site in reconstructive hand surgery because of its similar quality to the original. The dorsal homodigital island flap can be used as a reliable alternative for reconstructing small to moderate defects of the fingers. In this retrospective study, the investigators would evaluate the efficacy of the technique for tissue reconstruction in different regions of the finger, with an emphasis on sensibility, pain and donor site morbidity.

Detailed Description

At final follow-up, sensory restoration of the flap is measured using the static 2-point discrimination test and Semmes-Weinstein monofilament test. We evaluate pain sensations of the reconstructed fingers and donor sites with a visual analog scale. The system consist of a 10 cm line that is grouped into mild (0-3 cm), moderate (4-6 cm) and severe (7-10 cm). Active motion of the joints is measured using a goniometer. The motion arcs of the reconstructed fingers are compared with the opposite side.

Study Timeline

• Study Start: 2006-01
• Status Verified: 2007-01
• Primary Completion: 2009-01
• Study Completion: 2013-03
• Study First Submitted: 2013-06-03
• Study First Submitted QC: 2013-06-05
• Last Update Submitted: 2013-06-05
• Study First Posted: 2013-06-06
• Last Update Posted: 2013-06-06

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 173

Inclusion Criteria

• the soft tissue defect in one finger or in multiple fingers
• a defect > 1.5 cm and < 3 cm in length
• necessity to preserve finger length
• a patient between 15 and 60 years of age

Exclusion Criteria

• injuries to the dorsum of the finger or to the course of the vascular pedicle that precluded its use as the donor
• a defect≤1.5 cm or ≥3 cm in length
• a soft tissue defect of the thumb

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Surgical flap	The dorsal homodigital island flap	The dorsal homodigital island flap is a perforator type flap based on the DB, which uses the dorsal skin of the injured finger to provide soft tissue coverage for a volar defect.

Primary Outcome Measures

Name	Time	Method
Static 2-point discrimination test	18 months to 24 months	The test point is at the center of the flap. Each area was tested 3 times with a Discriminator (Ali Med, Dedham, MA). We stop at 4mm as a limit of 2PD and considered this normal.

Secondary Outcome Measures

Name	Time	Method
Cold intolerance	18 months to 24 months	We access the cold intolerance of the injured and donor fingers using the self-administered Cold Intolerance Severity Score questionnaire10 that is rated into mild, moderate, severe, and extreme (0-25, 26-50, 51-75 and 76-100).

Trial Locations

Locations (1)

The Second Hospital of Tangshan; 🇨🇳 Tangshan, Hebei, China