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. 2021 Sep;10(3):8–17. doi: 10.29252/wjps.10.3.8

Table 2.

Literature review chart

Author (Year) Reconstruction flap Fingers involved No. of patients (Followed up Vs total) Defect size (mean)/ Type Mean duration of follow-up (range) in months Mean two-point discrimination (mm)
Recipient/ contra-lateral finger
Aesthetic outcomes Complications Other findings
Freiberg & Manktelow (1972) 7 Kutler flap - 22/ 30 - - 6/ -
Light touch (excellent-2, good-8)
Tactile gnosis (excellent-2, good-3, poor-2)
- Flap necrosis- 2
Infection- 2
Central dehiscence- 2
Hypersensitivity (mild)- 7
Numbness (mild)- 7
Cold sensitivity (mild-4, moderate-2)
Paraesthesia- 3
Weston (1976) 9 Triangular advancement flap - -/ 31 - - - Good results
Kutler- 2/12
Median- 4/7
Half lateral- 5/11
- Using finger normally- 23
Good functionally result-10
Gellis & Pool (1977) 8 Kutler flap - - - - 2.6/ - - - -
Atasoy flap - - - - 3.1/ - - - -
Frandsen (1978) 11 Kutler flap - 14/16 - 32 (6-57) Light touch missing- 0 - Tenderness on percussion- 10
Dysesthesia- 10
Curving of nail- 4
Coldness- 8
Difficulty in grasping objects- 6
Time of healing- 21 days
Off work- 61 days
Atasoy flap - 10/12 - 32 (6-57) Light touch missing- 0 - Tenderness on percussion- 4
Dysesthesia- 7
Curving of nail- 3
Coldness- 4
Difficulty in grasping objects- 5
Time of healing- 21 days
Off work- 29 days
Tupper & Miller (1985) 10 Volar VY plasty - 20/20 - 5.9 yr (1-11) Difference in reconstructed and contralateral finger:
  • 2PD- 2.75 mm

  • Von Frey- 0.6

Average patient estimation of sensation- 73%
Patient satisfaction- 12
Average shortening- 7.6 mm (4.7- 12.5 mm)
Parrot beaking- 3
Tenderness- 5
Difficulty in grasping small object- 10
Cryalgia- 12
Zhou et al (2015) 30 Palmar VY flap combined with bone and nail bed graft 14/14 Allen
Type II- 3
Type III- 7
Type IV- 5
12.8 (8-17) 7.5 (4-12) Fingertip length good and excellent- 78.6%
Average subjective satisfaction score- 8.64
Dysesthesia- 0 Cold intolerance- 14
Grip strength 10% lesser than corresponding digit
MIPJ, PIPJ mobility loss <10%
Haehnel et al (2019) 34 Atasoy flap Index- 6
Middle- 12
Ring- 3
Little- 6
Thumb- 3
30/47 Ishikawa
Subzone I- 8
Subzone II- 21
Subzone- III- 1
4.7 yr (1.3- 15.7) Epicritical pulp tactile sensitivity
  • Good- 20

  • Intermediate- 7

  • Poor- 3

Normal pulp- 13
Striated nail- 4
Thicker nail- 15
Hyponychial scarring- 22
Hooknail deformity- 15
Pain- 9
Cold sensitivity- 12
Weighted mean Kutler flap 6 - Hook nail- 4/14
Pain- 10/14
Cold intolerance- 14/36
Atasoy flap 7.5 - Hook nail- 21/60
Pain- 18/60
Cold intolerance- 40/74
Krishnan (2001) 13 Pedicled VY flap Index- 19
Middle- 14
Ring- 7
Little- 2
Thumb- 3
29/29 Combination of Kutler and Atasoy system
1st-3rd degree
3 (9-14 weeks) 4.2+0.9 (1 month)
3.5+0.9 (3 months)
p <0.0001
- - -
Ozyigit et al (2007) 23 Dorsal VY advancement flap Index- 2
Middle- 1
Ring- 4
7/7 Defect proximal to nail matrix (volar oblique/ transverse) 18 (12-24) 4.7 (4-5) - Dysesthesia/ paraesthesia- 0
Pain- 0
Return to work- 21 days
Cold intolerance- 2 (on volar side)
Sungur et al (2012) 25 Bilateral VY rotation advancement flap - 7/7 1X0.4 cm to 2X1 cm 18 (3-24) <6 (same as contralateral finger) - No scar hypersensitivity Cold intolerance- 0
Return to work- 1.5-2.5 weeks
Diaz et al (2016) 31 Double VY flap - 7/7 Allen
Type II- 1
Type III- 5
Type IV- 1
Minimum 6 months 5 (4-6): proximal flap
8.43 (6-10): distal flap
- Infection- 0
Necrosis- o
-
Arpaci et al (2017) 32 Super Kutler flap - 10/10 2.2X 1.8 cm 12 (8-16) 2PD- 3.5 mm (3-5)
Semmes Weinstein test- 2.83 gm (2.44- 3.61)
Michigan Hand Outcome Questionnaire
Score 5- 7
Score 4- 3
Pain- 0 CISS (Mild)- 3
Mean ROM:
  • PIPJ- 108° (100-110)

  • DIPJ- 75° (70-80)

  • Total- 167°

Appukuttan & Ragoowansi (2020) 35 Unilateral perforator VY flap (14-80 mm2) Index- 3
Middle- 3
Little- 4
7/10 Allen type III 6 3- 4 Aesthetically satisfied- 6 Persistent sensitivity- 1
Parrot beaking- 1
-