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CC BY-NC-ND 4.0 · Rev Bras Ortop (Sao Paulo)
DOI: 10.1055/s-0042-1749203
Artigo Original

Comparison Between Atasoy-Kleinert V-Y Advancement Flap and Figueiredo Techniques for the Treatment of Transverse and Dorsal Oblique Fingertip Injuries[*]

Article in several languages: português | English
Leandro Azevedo de Figueiredo 
1   Vitória Apart Hospital, Serra, Espírito Santo, Brasil
,
Rafael de Souza Ribeiro 
2   Hospital Jayme dos Santos Neves, Serra, Espírito Santo, Brasil
,
Pedro Hemerly Figueiredo 
3   Santa Casa de Misericórdia de Vitória, Vitória, Espírito Santo, Brasil
,
André Luiz Machado Lima 
1   Vitória Apart Hospital, Serra, Espírito Santo, Brasil
,
Felipe Mantovani de Oliveira 
1   Vitória Apart Hospital, Serra, Espírito Santo, Brasil
,
Dalton Silva de Oliveira Júnior 
2   Hospital Jayme dos Santos Neves, Serra, Espírito Santo, Brasil
› Author Affiliations Financial Support This study received no financial support from public, commercial, or non-profit sources.
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Abstract

Objective Compare the results of the treatment of transverse and dorsal oblique fingertip lesions with Atasoy-Kleinert V-Y advancement flap or Figueiredo Technique (FT).

Method A total of 21 patients who suffered acute trauma in any finger with consequent transverse or oblique fingertip lesions were selected in a public referral hospital in high complexity trauma. Of these, 10 patients were treated with the Atasoy-Kleinert V-Y advancement flap technique and 11 with the FT. The aesthetic and functional results were compared based on four criteria: evolution of infectious process during treatment; capacity for static and dynamic discrimination between two points; neuroma formation; and aesthetic and functional evaluation of nail growth.

Results None of the studied groups developed neuroma or infectious process during treatment. In the general clinical evaluation, it was observed that no variable presented a statistically significant association, that is, both groups presented similar behaviors in the postoperative period with p value > 0.05 when comparing all the included variables.

Conclusion The present study concluded that the FT is as efficient as the Atasoy-Kleinert V-Y advancement flap technique, both of which can be used for the treatment of transverse and dorsal oblique fingertip injuries, two techniques with excellent results for such lesions.

Keywords

finger injuries - microsurgery - surgical flaps

* Work developed at Hospital Jayme dos Santos Neves, Serra, ES, Brazil.




Publication History

Received: 07 October 2021

Accepted: 28 March 2022

Article published online:
02 June 2022

© 2022. Sociedade Brasileira de Ortopedia e Traumatologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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