{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:54:00Z","timestamp":1763686440952,"version":"3.45.0"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"06","license":[{"start":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T00:00:00Z","timestamp":1756166400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arch Plast Surg"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Fingertip injuries present a challenge for surgeons. Factors such as appearance, sensation, and grip strength influence the choice of procedure. The neurovascular island (NVI) flap is commonly used due to its reliability and favorable results. However, it can lead to reduced sensation and a limited range of motion, which are significant concerns.<\/jats:p>\n                  <jats:p>This study analyzed 56 adult patients with 66 finger injuries treated with a modified NVI flap by a single surgeon. The flap is based on branches of the proper digital artery to the volar and dorsal skin, including two nerves in the resected flap. The FIOS score was used to assess long-term flap outcomes at follow-up. Patients with thumb injuries, incomplete records, or loss of follow-up were excluded.<\/jats:p>\n                  <jats:p>The study found that NVI flaps had a survival rate of 98%. Post-surgery, the patients' outcomes were assessed using the FIOS score, with 61 cases rated as \u201cexcellent,\u201d 4 as \u201cgood,\u201d and 1 as \u201cfair.\u201d During long-term follow-up, none of the patients experienced cold intolerance or sensory abnormalities, which is attributed to the inclusion of the dorsal cutaneous nerve in the flap.<\/jats:p>\n                  <jats:p>In conclusion, the NVI flap procedure proved to be a reliable method for reconstructing fingertip pulp loss, offering long-term satisfactory outcomes. It provided good coverage with preserved sensation, dexterity, and preservation of finger length, meeting the patients' cosmetic expectations.<\/jats:p>","DOI":"10.1055\/a-2690-1599","type":"journal-article","created":{"date-parts":[[2025,8,26]],"date-time":"2025-08-26T23:10:46Z","timestamp":1756249846000},"page":"347-354","source":"Crossref","is-referenced-by-count":0,"title":["Does Incorporation of the Dorsal Cutaneous Branch of the Proper Digital Nerve in Anterograde Neurovascular Island Flap Improve Outcomes? Results of A Retrospective Case Series"],"prefix":"10.1055","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8330-1268","authenticated-orcid":false,"given":"Pervaiz M.","family":"Hashmi","sequence":"additional","affiliation":[{"name":"Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3213-5472","authenticated-orcid":false,"given":"Abeer","family":"Musaddique","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3842-9593","authenticated-orcid":false,"given":"Muhammad","family":"Ali","sequence":"additional","affiliation":[{"name":"Department of Public Health, University of Bradford, Bradford, United Kingdom"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5710-7701","authenticated-orcid":false,"given":"Muhammad A.A.","family":"Khan","sequence":"additional","affiliation":[{"name":"Section of Orthopedics, Department of Surgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4400-126X","authenticated-orcid":false,"given":"Muhammad Z.N.","family":"Khan","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Hamdard College of Medicine and Dentistry, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6988-0136","authenticated-orcid":false,"given":"Marij","family":"Zahid","sequence":"additional","affiliation":[{"name":"Department of Orthopedic Surgery, Aga Khan University Hospital, Karachi, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2025,11,20]]},"reference":[{"issue":"05","key":"ref1","doi-asserted-by":"crossref","first-page":"1607","DOI":"10.1007\/s00068-020-01312-5","article-title":"Epidemiology of complex hand injuries treated in the Plastic Surgery Department of a tertiary referral hospital in Warsaw","volume":"47","author":"T D\u0119bski","year":"2021","journal-title":"Eur J Trauma Emerg Surg"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1007\/s11552-011-9383-z","article-title":"The epidemiology of upper extremity injuries presenting to the emergency department in the United States","volume":"7","author":"D Ootes","year":"2012","journal-title":"Hand (N Y)"},{"issue":"06","key":"ref3","first-page":"614","article-title":"Approach to traumatic hand injuries for primary care physicians","volume":"59","author":"K Cheung","year":"2013","journal-title":"Can Fam 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defects","volume":"45","author":"M Kayalar","year":"2011","journal-title":"Acta Orthop Traumatol Turc"},{"issue":"01","key":"ref8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1142\/S242483551950005X","article-title":"Flap related complications requiring secondary surgery in a series of 851 local flaps used for fingertip reconstruction","volume":"24","author":"T Karjalainen","year":"2019","journal-title":"J Hand Surg Asian Pac Vol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"772","DOI":"10.2106\/00004623-195234040-00002","article-title":"Digit transfer by neurovascular pedicle","volume":"34 A","author":"S Bunnell","year":"1952","journal-title":"J Bone Joint Surg Am"},{"issue":"02","key":"ref10","first-page":"75","article-title":"Modification of the Kutler flap: neurovascular pedicle [In German]","volume":"8","author":"G 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Treatment of its disabilities by fusion","volume":"51","author":"R G Eaton","year":"1969","journal-title":"J Bone Joint Surg Am"},{"issue":"04","key":"ref14","first-page":"321","article-title":"[Defect coverage of fingers and thumb: Indications and treatment [In German]","volume":"121","author":"F Unglaub","year":"2018","journal-title":"Unfallchirurg"},{"issue":"04","key":"ref15","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1080\/2000656X.2021.1962332","article-title":"Fingertip injury epidemiology: An Indian perspective","volume":"56","author":"S A Samantaray","year":"2022","journal-title":"J Plast Surg Hand Surg"},{"issue":"02","key":"ref16","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1016\/0266-7681_89_90127-7","article-title":"Homodigital neurovascular island flaps for digital pulp loss","volume":"14","author":"G Foucher","year":"1989","journal-title":"J Hand Surg [Br]"},{"issue":"02","key":"ref17","doi-asserted-by":"crossref","first-page":"296","DOI":"10.1097\/00006534-198008000-00026","article-title":"Oblique triangular flap: a new method of repair for oblique amputations of the fingertip and thumb","volume":"66","author":"R Venkataswami","year":"1980","journal-title":"Plast Reconstr Surg"},{"issue":"06","key":"ref18","doi-asserted-by":"crossref","first-page":"2012","DOI":"10.1097\/PRS.0b013e3181bcf2b9","article-title":"Randomized prospective study comparing reverse and direct flow island flaps in digital pulp reconstruction of the fingers","volume":"124","author":"J Braga-Silva","year":"2009","journal-title":"Plast Reconstr Surg"},{"key":"ref19","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1177\/15589447221127332","article-title":"The efficacy of antegrade homodigital neurovascular island flaps in distal fingertip reconstruction: A systematic literature review","volume":"19","author":"T Castillo","year":"2024","journal-title":"Hand (N Y)"},{"issue":"01","key":"ref20","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1142\/S0218810417500071","article-title":"Functional outcomes of antegrade homodigital neurovascular island flaps for fingertip amputation","volume":"22","author":"L W Lok","year":"2017","journal-title":"J Hand Surg Asian Pac Vol"}],"container-title":["Archives of Plastic Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2690-1599.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T00:29:25Z","timestamp":1763684965000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2690-1599"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,8,26]]},"references-count":20,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2025,11,20]]},"published-print":{"date-parts":[[2025,11]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2690-1599","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2234-6163","2234-6171"],"issn-type":[{"type":"print","value":"2234-6163"},{"type":"electronic","value":"2234-6171"}],"subject":[],"published-other":{"date-parts":[[2025,8,26]]},"published":{"date-parts":[[2025,8,26]]}}}