NCT01707654

Repair of Infective Wound Associated With Nerve Defect in the Finger Using A Bipedicled Nerve Flap

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 9 (actual)
• Sponsor: The Second Hospital of Tangshan · Academic / Other
• Sex: All
• Age: 16 Years – 55 Years
• Healthy volunteers: Accepted

Summary

A combination of soft tissue and digital nerve defects in the finger results in sensory loss of the finger pulp. Reconstruction of these combined injuries is difficult. When the neurocutaneous defect is associated with wound infection, reconstructive alternatives are more limited. From July 2008 to May 2010, a retrospective study was conducted with 9 consecutive postinfection patients who had the neurocutaneous defect of the finger following trauma. The purpose of this retrospective study is to report repair of the complicated infected wound in the finger using the bipedicled nerve flap and to evaluate the efficacy of this technique.

Detailed description

sensation of the flaps is assessed using static two-point discrimination (2PD) and Semmes-Weinstein monofilament (SWM) testing at final follow-up. The cold intolerance of the injured finger is measured using the self-administered Cold Intolerance Severity Score questionnaire that was rated into mild, moderate, severe, and extreme (0-25, 26-50, 51-75 and 76-100). Patients report their satisfaction with functional recovery of the injured finger according to the Michigan Hand Outcomes Questionnaire that was based on a 5-point response scale.

Conditions

• Infection Wound
• Disruption of Nerve Repair

Interventions

Type	Name	Description
DEVICE	Nerve flap	Based on the Teoh et al.'s technique, we combined the nerve graft into the bipedicled heterodigital arterialized island flap and used this composite flap tissue for reconstructing complicated infected wound in the finger.

Timeline

• Start date: 2008-07-01
• Primary completion: 2010-05-01
• Completion: 2012-02-01
• First posted: 2012-10-16
• Last updated: 2018-11-21
• Results posted: 2013-10-23

Locations

1 site across 1 country: China