Two cases, to which a free first web space flap or a free hemipulp flap from the foot were applied for restoring sensation to the mutilated hand are reported. The free neurovascular flap from the foot has advantages in reconstruction of the mutilated hand, when a traditional neurovascular island flap for sensory recovery of the hand is not available.
Get full access to this article
View all access options for this article.
References
1.
FLYNNJ. E., Hand Surgery, 2nd Edition, Baltimore, Williams and Wilkins, (1975), p 367–382.
2.
LITTLERJ. W. (1956) Neurovascular Pedicle Transfer of Tissue in Reconstructive Surgery of the Hand. In Proceedings of the American Society For Surgery Of The Hand. The Journal of Bone and Joint Surgery, 38A: 917.
3.
DANIELR. K., TERZISJ., and MIDGLEYR.D. (1976) Restoration Of Sensation To An Anesthetic Hand By A Free Neurovascular Flap From The Foot. Plastic and Reconstructive Surgery, 57: 275–280.
4.
OHMORIK., and HARIIJ. (1976) Free Dorsalis Pedis Sensory Flap To The Hand, With Microneurovascular Anastomoses. Plastic and Reconstructive Surgery, 58: 546–554.
5.
DoiK., TOMINAGAS., HONOH., OGOSHIE., and NAKAMURAS. (1979) Free Neurovascular Flap from the Foot, applied to Reconstruction of the Amputated Thumb. Seikeigeka, 30: 1608–1611. (in Japanese).
6.
DoiK., TOMINAGAS., HONOH., OGOSHIE., and NAKAMURAS (1979) Reconstruction of an Amputated Thumb in One Stage. Case Report - Free Neurovascular-Flap Transfer with Iliac-Bone Graft. The Journal of Bone and Joint Surgery, 6IA: 1254–1255.
7.
MORRISONA. W., O'BRIENB. M., and HAMILTONB. R. (1978) Neurovascular Free Foot Flaps in Reconstruction of the Mutilated Hand. Clinics in Plastic Surgery, 5: 265–272.
8.
SAKAMOTOH., TAMAIS., HORIY., NAKAMURAY., TAKITAT., and SHIMIZUT. (1978) Application of Free Sensory Flap in Hand Surgery. Seikeigeka, 29: 1505–1508. (in Japanese).
9.
STRAUCHB., and TSURH. (1978) Restoration of Sensation to the Hand by a Free Neurovascular Flap from the First Web Space of the Foot. Plastic and Reconstructive Surgery, 62: 361–367.
10.
TORIIS., HARIIK., OHMORIK., and SEKIGUCHIJ. (1978) Sensory Restoration of the Free Flap, II: Free Sensory Flap. Keiseigeka, 21: 260–264. (in Japanese with English Abstract.)
