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Please use this identifier to cite or link to this item: http://hdl.handle.net/10564/3256

Title: Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap.
Other Titles: 指尖部切断に対する動脈島状皮弁をもちいた再建術後のPIP関節屈曲拘縮の予見因子の検討
Authors: Nakanishi, Akito
Omokawa, Shohei
Iida, Akio
Kaji, Daisuke
Tanaka, Yasuhito
Keywords: Homodigital island flap
advancement flap
flexion contracture
proximal interphalangeal joint
Issue Date: Nov-2015
Publisher: Elsevier
Citation: The Journal of hand surgery Vol.40 No.11 p.2155-2159 (2015 Nov)
Abstract: PURPOSE: To identify independent predictors of postoperative proximal interphalangeal (PIP) joint contracture after direct-flow homodigital island flap transfer. METHODS: Forty-four fingertip amputations in 39 patients treated with oblique triangular flaps were evaluated at a minimum of 1 year after surgery. Five variables were examined: patient age, injured finger, mechanism of injury, flap advancement distance, and time required for wound healing. Univariate and multivariate linear regression analyses were performed to identify the extent to which these variables affected the flexion contracture of the PIP joint. RESULTS: The average reduction in the passive extension angle of the PIP joint was 16° at final follow-up. Univariate analysis indicated significant correlations of PIP joint flexion contracture with age, injured finger, and time for wound healing, but no significant correlation with the distance the flap was advanced. Multivariate analysis indicated that the age and duration of wound healing were independent predictors of the flexion contracture of the PIP joint. CONCLUSIONS: Elderly people and cases with delayed wound healing are at risk for postoperative PIP joint contracture after homodigital flap transfer. Intervention with early hand therapy and orthotics may be useful in elderly patients with delayed wound healing.
Description: 博士(医学)・乙第1377号・平成28年7月8日
Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
URI: http://hdl.handle.net/10564/3256
ISSN: 03635023
Academic Degrees and number: 24601B1377
Degree-granting date: 2016-07-08
Degree name: 博士(医学)
Degree-granting institutions: 奈良県立医科大学
Appears in Collections:2016年度

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