A Comparison of the Littler Flap With the Bipedicled Nerve Flap

NCT03701685 | Completed

• 1 other identifier: TSChen13307
• Study Type: interventional
• Target: 59
• Locations: 0 countries
• Sites: N/A

Brief Summary

A retrospective study is conducted with 59 patients who has a combination of soft tissue and digital nerve defects following trauma treated using the Littler flap or bipedicle nerve flap.Patients are divided into two groups. The group reconstructed with the Litter flap includes 26 patients and the group reconstructed with the bipedicle nerve flap includes 33 patients.Discriminatory sensation, pain and cold intolerance of the reconstructed finger, and patient satisfaction were evaluated.

Conditions

Soft Tissue Defect of Digit; Nerve Injury

Keywords

nerve flap; sensory reconstruction; nerve repair

Outcome Measures

Primary Outcomes (1)

• Static 2PD test

  We use a Disk-Criminator to test two nearby points when touching the flap. It is often

  18 months to 24 months after surgery

Study Arms (1)

nerve grafting

OTHER

The stumps of digital nerve are connected with nerve graft

Procedure: nerve flap

Interventions

nerve flap PROCEDURE

sensory reconstruction via a nerve graft included in the flap

nerve grafting

Eligibility Criteria

• Age: 15 Years - 55 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• the defect in a region where sensory return is considered important
• soft tissue defect with exposed bone or tendon in only one digit
• associated single or double digital nerve defects with 1 to 4 cm in length7
• a soft tissue defect greater than 1.5 cm and less than 4 cm in length
• necessity to preserve digit length
• a patient between 15 and 60 years of age.

You may not qualify if:

• injury to the course of donor arterial pedicle or donor nerve
• nerve defect less than 1 cm or larger than 4 cm
• a soft tissue defect≤1.5 cm or ≥4 cm in length
• multiple-digit soft tissue defects
• extremely contaminated wounds
• the defect in a region the flap is unable to reach, such as thumb fingertip

Sponsors & Collaborators

• The Second Hospital of Tangshan: lead
• Chinese PLA General Hospital: collaborator

Related Publications (1)

• Chen C, Tang P, Zhang L. Use of a bipedicled nerve flap taken from the dorsum of the digit for reconstruction of neurocutaneous defect in the adjacent finger. J Plast Reconstr Aesthet Surg. 2013 Oct;66(10):1322-9. doi: 10.1016/j.bjps.2013.06.001. Epub 2013 Jul 2.

  PMID: 23829956 RESULT

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 8, 2018
• First Posted: October 10, 2018
• Study Start: July 1, 2008
• Primary Completion: February 1, 2016
• Study Completion: May 1, 2016
• Last Updated: October 15, 2018

Record last verified: 2018-08