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  • Donor finger had no...

Donor finger had no significant effect on range of motion in cross-finger flap surgery in fingertip injuries

Written By : Dr.Niharika Harsha B |Medically Reviewed By : Dr. Kamal Kant Kohli Published On 2023-09-13T09:30:24+05:30  |  Updated On 13 Sept 2023 11:45 AM IST
Donor finger had no significant effect on range of motion in cross-finger flap surgery in fingertip injuries
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New research revealed that no significant difference was found in the range of motion of the donor's finger with the contralateral finger in cross-finger flap in fingertip injuries. The study was published in the Indian Journal of Plastic Surgery.

Fingertip injuries that are complicated by pulp loss, bone or tendon exposure will generally need a flap cover. Cross finger flap is commonly used to cover such defects. Cross-finger flap surgeries restore the sensation and metabolic activity of pain-free finger function. But not much has been discussed about the morbidity of the donor's finger in a cross-finger flap as much the outcomes of the flap were discussed. Literature reported conflicting results on the sensory, functional, and aesthetic morbidity of donor fingers. Hence researchers conducted a study to assess the objective parameters for sensory recovery, stiffness, cold intolerance, cosmetic outcome, and various other outcomes in donor's fingers.

Also Read: Cognitive Training and Vitamin D May Enhance Cognition among Elderly: JAMA

Following the PRISMA guidelines, a literature search was carried out using cross-finger, heterodigital, donor-finger, and trans-digital words relevant articles were retrieved. Data regarding the demography, donor-finger outcomes like the 2-point discrimination, range of motion, cold intolerance, follow-up durations, and other questionnaires were collected from the studies and analyzed. MetaXL was used to carry out a meta-analysis and the Cochrane risk of bias tool was used to evaluate the risk of bias.

Results:

  • Nearly 16 studies were included, out of which 279 patients were objectively evaluated for donor finger morbidity.
  • The middle finger was most frequently used as a donor.
  • When compared to the contralateral finger, static two-point discrimination seemed to be impaired in the donor finger.
  • No significant difference was observed in the range of motion of interphalangeal joints in donor and control fingers when a meta-analysis of the ROM was carried out.
  • Cold intolerance was observed in one-third of the donor's fingers.

Thus, range of motion has no significant difference in cross-finger flap surgeries in finger-tip injuries.

Further reading: Donor Finger Morbidity in Cross-Finger Flap: A Systematic Review and Meta-Analysis. Indian J Plast Surg 2023; 56(03): 201-207. 10.1055/s-0042-1760092


Indian Journal of Plastic SurgeryAIIMSBurnsPlastic Surgery
Source : Indian Journal of Plastic Surgery
Dr.Niharika Harsha B
Dr.Niharika Harsha B

    BDS, MDS

    Dr.Niharika Harsha B (BDS,MDS) completed her BDS from Govt Dental College, Hyderabad and MDS from Dr.NTR University of health sciences(Now Kaloji Rao University). She has 4 years of private dental practice and worked for 2 years as Consultant Oral Radiologist at a Dental Imaging Centre in Hyderabad. She worked as Research Assistant and scientific writer in the development of Oral Anti cancer screening device with her seniors. She has a deep intriguing wish in writing highly engaging, captivating and informative medical content for a wider audience. She can be contacted at editorial@medicaldialogues.in.

    Dr. Kamal Kant Kohli
    Dr. Kamal Kant Kohli

    Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751

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