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The “Extreme Atasoy” flap

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European Journal of Plastic Surgery Aims and scope Submit manuscript

Abstract

Background

Distal finger injuries are very common in Hand Surgery. The purpose of this paper is to describe our “Extreme Atasoy flap” technique in the reconstruction of apical lesions of the fingers.

Methods

Twenty patients were treated with the “Extreme Atasoy flap” technique. The following variables were evaluated: age, sex, comorbidity, cause of amputation, Visual Analogue Scale for pain assessment to time 0 (VAS T0), VAS to time 30 days (VAS T30), hospitalization time (HT), time to heal (TH), major complications (MC), minor complications (mC), advancement flap (AF), and static 2-point discrimination test to assess sensitivity.

Results

In our case series, no major complications were present. The average healing time was 2.4 days, and the 2-point discrimination test regarding sensitivity was satisfactory. The patients reported good aesthetic and functional outcomes.

Conclusions

Treatment of fingertip injuries is an important topic in Hand Surgery. Local flaps are common forms of treatment in these kinds of injuries. The surgical technique is similar to that described by Atasoy, but with some important differences: the preoperative design is different, the donor site is not closed with stitches but heals by secondary intention, and the vascular pedicles are extremely skeletonized. This technique has proven to be safe and simple to carry out and provides good coverage of the distal portions of the fingers.

Level of Evidence: Level V, therapeutic study

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Author information

Authors and Affiliations

  1. Department of Plastic and Reconstructive Surgery, University of Bari, Piazza Giulio Cesare 11, 70124, Bari, Italy

    Ciancio Francesco & Giudice Giuseppe

  2. Department of Plastic and Reconstructive Surgery, Cannizzaro Hospital, University of Catania, Catania, Italy

    Succi Giulia, Pompili Gianluca & Perrotta Rosario Emanuele

Authors
  1. Ciancio Francesco
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  2. Succi Giulia
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  3. Giudice Giuseppe
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  4. Pompili Gianluca
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  5. Perrotta Rosario Emanuele
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Corresponding author

Correspondence to Ciancio Francesco.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed were in accordance with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Francesco, C., Giulia, S., Giuseppe, G. et al. The “Extreme Atasoy” flap. Eur J Plast Surg 43, 49–52 (2020). https://doi.org/10.1007/s00238-019-01550-w

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  • DOI: https://doi.org/10.1007/s00238-019-01550-w

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