Abstract
Analysis of the outcome of neurovascular island flap developed to reconstruct volar-oblique fingertip amputations. A comparison of results with the initial study.
Patients were contact telephonically and recalled for review. A subjective questionnaire was filled in and objective clinical measurements taken. The parameters of the original study were reproduced in order to compare results.
We have 12 cases since 2004. 5 Cases were lost to follow up with only clinic notes available. 7 Cases were reviewed. Mean age 20y (4–65y). Good subjective results with regard to cold intolerance, hypersensitivity, numbness, pain and stiffness. Good cosmesis and patient satisfaction. Objective measurements of IPJ stiffness were insignificantly different from the contra lateral side and 2 point discrimination < =5mm. A single flap failure due to sepsis.
It was concluded that this was a safe and reliable method of reconstruction, with a number of advantages over previous methods.
Correspondence should be addressed to: Léana Fourie, CEO SAOA, PO Box 12918, Brandhof 9324 South Africa.
