Propeller Perforator Flaps Used for Hand and Digit Reconstruction: A Systematic Review. (Record no. 14485)

MARC details
000 -LEADER
fixed length control field 03766nam a22004337a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 240807s20242024 xxu||||| |||| 00| 0 eng d
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER
International Standard Serial Number 0974-3227
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code PMC11144646 [pmc]
024 ## - OTHER STANDARD IDENTIFIER
Standard number or code S0974-3227(24)00035-8 [pii]
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
PMID 38855530
245 ## - TITLE STATEMENT
Title Propeller Perforator Flaps Used for Hand and Digit Reconstruction: A Systematic Review.
251 ## - Source
Source Journal of Hand and Microsurgery. 16(2):100035, 2024 Jun.
252 ## - Abbreviated Source
Abbreviated source J. hand microsurg.. 16(2):100035, 2024 Jun.
253 ## - Journal Name
Journal name Journal of hand and microsurgery
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Year 2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Manufacturer FY2024
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Publication date 2024 Jun
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Publication status epublish
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE]
Medline status PubMed-not-MEDLINE
266 ## - Date added to catalog
Date added to catalog 2024-08-07
266 ## - Date added to catalog
Date Medline record created 2024/06/10 05:38
520 ## - SUMMARY, ETC.
Abstract Background: Propeller perforator flaps (PPFs) have increased in popularity due to the freedom in design and ability to cover a variety of defects without sacrificing the major vessels. Present reports of PPFs for upper limb reconstruction have not provided guidance for hand reconstruction, specifically. This study aims to review the current literature and evaluate techniques for use of PPFs in hand reconstruction.
520 ## - SUMMARY, ETC.
Abstract Conclusion: PPFs are a reliable option for hand or digital reconstruction, allowing surgeons to cover a variety of defects without sacrificing local vasculature. Despite nearly a 20% reported complication rate, nearly all flaps with venous congestion and partial flap necrosis included in these articles resolved without the need for secondary intervention, retaining an excellent overall flap survival. Copyright © 2024 Society for Indian Hand Surgery and Micro Surgeons. Published by Elsevier B.V. All rights reserved.
520 ## - SUMMARY, ETC.
Abstract Methods: A comprehensive literature review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines for articles published from 1991 to 2021. The database search was queried for records using appropriate Medical Subject Headings (MeSH) terms. Studies reporting PPFs were limited to English language and excluded lower extremity or upper extremity reconstruction not specific to defects in the hand or digits. Study characteristics, patient demographics, indications, preoperative testing, flap characteristics, flap survival, and complication rates were collected.
520 ## - SUMMARY, ETC.
Abstract Results: Out of the initial 1,348 citations yielded, 71 underwent full-text review. Ultimately, 25 unique citations were included encompassing 12 retrospective reviews (48%), 3 prospective cohort studies (10%), and 10 case series (40%). In review, 525 patients underwent reconstruction with a total of 613 propeller flaps performed to repair defects of the hand, digits, or both with use of 18 unique flap types. Overall flap survival was 97.8%. Acute wounds accounted for 72.9% of performed reconstructions. The mean flap coverage was 14.7 cm2. Complications occurred in 19.8% of cases, with venous congestion and partial flap necrosis occurring in 5.5 and 6.5% of cases, respectively, leading to a flap failure rate of 2.1%.
546 ## - LANGUAGE NOTE
Language note English
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM
Indexing Automated
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME
Institution Curtis National Hand Center
656 ## - INDEX TERM--OCCUPATION
Department MedStar General Surgery Residency
656 ## - INDEX TERM--OCCUPATION
Department MedStar Georgetown University Hospital/MedStar Washington Hospital Center
657 ## - INDEX TERM--FUNCTION
Medline publication type Journal Article
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Deldar, Romina
Institution Code MGUH
Program MedStar General Surgery Residency
Degree MD
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Giladi, Aviram M
Institution Code CURT
700 ## - ADDED ENTRY--PERSONAL NAME
Local Authors Sgromolo, Nicole
Institution Code CURT
790 ## - Authors
All authors Bovill J, Huffman S, Cach G, Haffner Z, Deldar R, Abu El Hawa AA, Sgromolo N, Giladi AM
856 ## - ELECTRONIC LOCATION AND ACCESS
DOI <a href="https://dx.doi.org/10.1055/s-0043-1768482">https://dx.doi.org/10.1055/s-0043-1768482</a>
Public note https://dx.doi.org/10.1055/s-0043-1768482
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Item type description Article
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Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Barcode Date last seen Price effective from Koha item type
              08/07/2024   38855530 08/07/2024 08/07/2024 Journal Article

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