{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,29]],"date-time":"2026-03-29T04:42:41Z","timestamp":1774759361328,"version":"3.50.1"},"reference-count":28,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2023,11,20]],"date-time":"2023-11-20T00:00:00Z","timestamp":1700438400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Electrical burns pose unique challenges in reconstructive surgery due to the extensive tissue damage they cause. The thumb is particularly susceptible to electrical burns, leading to severe functional impairment. This case series introduces the use of the temporal fascia free flap for thumb coverage in patients with electrical burn injuries. The study aims to assess the functional outcomes of this approach using the Disabilities of the Arm, Shoulder, and Hand (DASH) questionnaire. Six male patients underwent thumb reconstruction using temporal fascia free flaps following electrical burn injuries. The extent of the injury was assessed, and necrotic tissue was debrided. Functional outcomes were evaluated using the DASH questionnaire 6 months postoperation. All procedures were conducted in accordance with ethical guidelines, and informed consent was obtained from all patients. All patients achieved successful transplants using temporal fascia free flaps. The average DASH score at the 6-month follow-up indicated satisfactory functional recovery. Patients reported improvements in thumb mobility and functionality, and the cosmetic appearance of the thumb was acceptable. The appearance of the scar in the donor area was well-received. The temporal fascia free flap proved to be an effective method for thumb reconstruction following electrical burn injuries. Its thin and flexible nature allows for optimal contouring and improved range of motion. Although one case of partial flap loss was observed, overall functional and aesthetic outcomes were satisfactory. Further research with larger sample sizes is warranted to optimize surgical techniques and postoperative care for better outcomes.<\/jats:p>","DOI":"10.1093\/jbcr\/irad185","type":"journal-article","created":{"date-parts":[[2023,11,17]],"date-time":"2023-11-17T23:59:18Z","timestamp":1700265558000},"page":"493-498","source":"Crossref","is-referenced-by-count":2,"title":["Temporal Fascia Free Flap for Thumb Coverage in Electrical Burn Injuries: A Case Series Analysis With DASH Score Outcomes Evaluation"],"prefix":"10.1093","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3704-9265","authenticated-orcid":false,"given":"Giuseppe A G","family":"Lombardo","sequence":"first","affiliation":[{"name":"Burn and Plastic, Reconstructive and Aesthetic Surgery Department, Azienda Ospedaliera Cannizzaro , Catania 95100 , Italy"},{"name":"Universit\u00e0 Unikore di Enna, Piazza dell\u2019Universit\u00e0 , Enna, EN 94100 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudio","family":"Donia","sequence":"additional","affiliation":[{"name":"Burn and Plastic, Reconstructive and Aesthetic Surgery Department, Azienda Ospedaliera Cannizzaro , Catania 95100 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesco","family":"Ciancio","sequence":"additional","affiliation":[{"name":"Burn and Plastic, Reconstructive and Aesthetic Surgery Department, Azienda Ospedaliera Cannizzaro , Catania 95100 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3621-1761","authenticated-orcid":false,"given":"Arcangelo","family":"Russo","sequence":"additional","affiliation":[{"name":"Universit\u00e0 Unikore di Enna, Piazza dell\u2019Universit\u00e0 , Enna, EN 94100 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0024-9274","authenticated-orcid":false,"given":"Alessio","family":"Stivala","sequence":"additional","affiliation":[{"name":"Nord Plastic and Reconstructive Surgery Hand Surgery, Polyclinique Lyon Rillieux-la-Pape 69140 , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosario","family":"Ranno","sequence":"additional","affiliation":[{"name":"Burn and Plastic, Reconstructive and Aesthetic Surgery Department, Azienda Ospedaliera Cannizzaro , Catania 95100 , Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,11,20]]},"reference":[{"issue":"4","key":"2024030419495243600_CIT0001","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1097\/01.BCR.0000226250.26567.4C","article-title":"Practice guidelines for the management of electrical injuries","volume":"27","author":"Arnoldo","year":"2014","journal-title":"J Burn Care Res"},{"issue":"2","key":"2024030419495243600_CIT0002","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/j.burns.2016.08.013","article-title":"Recent trends in burn epidemiology worldwide: a systematic review","volume":"43","author":"Smolle","year":"2017","journal-title":"Burns"},{"issue":"4","key":"2024030419495243600_CIT0003","first-page":"259","article-title":"Pattern of high voltage electrical injuries in the Kashmir valley: a 10-year single centre experience","volume":"29","author":"Kasana","year":"2016","journal-title":"Ann Burns Fire Disasters"},{"issue":"6","key":"2024030419495243600_CIT0004","first-page":"722","article-title":"Electrical burns: a retrospective analysis over a 10 year period","volume":"33","author":"Lal","year":"2007","journal-title":"Burns"},{"issue":"3","key":"2024030419495243600_CIT0005","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1097\/SAP.0000000000001568","article-title":"Medial plantar flap for hand reconstruction: a systematic literature review and its application for post-sarcoma excision","volume":"82","author":"Troisi","year":"2019","journal-title":"Ann Plast Surg"},{"issue":"3","key":"2024030419495243600_CIT0006","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1007\/s00068-014-0423-6","article-title":"Medial plantar flap to repair defects of palm volar skin","volume":"41","author":"Huang","year":"2015","journal-title":"Eur J Trauma Emerg Surg"},{"key":"2024030419495243600_CIT0007","first-page":"492.e1","article-title":"Reverse flow shunt restricted arterialized venous free flap","volume-title":"J Hand Surg Am","author":"Lombardo","year":"2018"},{"key":"2024030419495243600_CIT0008","first-page":"61","article-title":"Les transferts vascularis\u00e9s de fascia temporalis dans les pertes de substance de la main A propos de trois cas [Free temporoparietal flap in hand coverage Report of three cases]","volume-title":"Ann Chir Plast Esthet","author":"Pujo","year":"2010"},{"key":"2024030419495243600_CIT0009","first-page":"165","article-title":"Retrospective analysis of free temporoparietal fascial flap for defect reconstruction of the hand and the distal upper extremity","volume-title":"Arch Orthop Trauma Surg","author":"M\u00fcller-Seubert","year":"2021"},{"issue":"6","key":"2024030419495243600_CIT0010","doi-asserted-by":"crossref","first-page":"602","DOI":"10.1002\/(SICI)1097-0274(199606)29:6<602::AID-AJIM4>3.0.CO;2-L","article-title":"Development of an upper extremity outcome measure: the DASH (disabilities of the arm, shoulder and hand) [corrected] The Upper Extremity Collaborative Group (UECG)","volume":"29","author":"Hudak","year":"1996","journal-title":"Am J Ind Med"},{"key":"2024030419495243600_CIT0011","first-page":"574e","article-title":"Vasospasm of the flap pedicle: the effect of 11 of the most often used vasodilating drugs comparative study in a rat model","volume-title":"Plast Reconstr Surg","author":"Hyza","year":"2014"},{"issue":"1-2","key":"2024030419495243600_CIT0012","first-page":"4","article-title":"Vasospasm of the flap pedicle--magnesium sulphate relieves vasospasm of axial flap pedicle in porcine model","volume":"57","author":"Hyza","year":"2015","journal-title":"Acta Chir Plast"},{"key":"2024030419495243600_CIT0013","first-page":"379","article-title":"Towards standardization of training and practice of reconstructive microsurgery: an evidence-based recommendation for anastomosis thrombosis prophylaxis","volume-title":"Eur J Plast Surg","author":"Kearns","year":"2018"},{"key":"2024030419495243600_CIT0014","first-page":"1381","article-title":"Efficacy and safety of free medial plantar flap in repair of the high-voltage electrical burns in hands","volume-title":"Eur J Trauma Emerg Surg","author":"Zhou","year":"2022"},{"issue":"5","key":"2024030419495243600_CIT0015","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1002\/micr.30460","article-title":"Soft tissue free flap for reconstruction of upper extremities: a meta-analysis on outcome and safety","volume":"39","author":"Zhang","year":"2019","journal-title":"Microsurgery"},{"issue":"2","key":"2024030419495243600_CIT0016","doi-asserted-by":"crossref","first-page":"105","DOI":"10.1002\/micr.22427","article-title":"Reliable transfer of multiple perforator-based pedicled flaps: surgical technique and clinical outcomes","volume":"37","author":"Kwon","year":"2017","journal-title":"Microsurgery"},{"key":"2024030419495243600_CIT0017","doi-asserted-by":"crossref","first-page":"2862879","DOI":"10.1155\/2018\/2862879","article-title":"Palmar ulnar artery perforator free flap for fingertip reconstruction: anatomical and clinical study","volume":"2018","author":"Pak","year":"2018","journal-title":"Biomed Res Int"},{"key":"2024030419495243600_CIT0018","first-page":"686.e1","article-title":"Thumb reconstruction using transfer of the ring finger without vascular anastomosis","volume-title":"J Hand Surg Am","author":"Ince","year":"2022"},{"key":"2024030419495243600_CIT0019","first-page":"430","article-title":"An extended distally based reverse posterior interosseous artery flap reconstruction for the thumb and distal defects of the fingers","volume-title":"Microsurgery","author":"Kocman","year":"2021"},{"key":"2024030419495243600_CIT0020","first-page":"723","article-title":"Restoration of basic hand function following devastating hand injuries using a microsurgically fabricated chimeric iliac osteocutaneous flap","volume-title":"J Plast Reconstr Aesthet Surg","author":"Pan","year":"2017"},{"key":"2024030419495243600_CIT0021","first-page":"221","article-title":"Der dorsale F\u00e4hnchenlappen zur Defektdeckung im Finger- und Daumenbereich [The dorsal flag flap for skin coverage of finger and thumb-tip injuries]","volume-title":"Oper Orthop Traumatol","author":"Stang","year":"2008"},{"issue":"2","key":"2024030419495243600_CIT0022","doi-asserted-by":"crossref","first-page":"204","DOI":"10.1097\/00006534-198008000-00004","article-title":"The free fascial scalp flap","volume":"66","author":"Smith","year":"1980","journal-title":"Plast Reconstr Surg"},{"issue":"2","key":"2024030419495243600_CIT0023","doi-asserted-by":"crossref","first-page":"177","DOI":"10.1097\/00006534-198508000-00001","article-title":"Experience with the temporoparietal free flap","volume":"76","author":"Brent","year":"1985","journal-title":"Plast Reconstr Surg"},{"issue":"4","key":"2024030419495243600_CIT0024","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0363-5023(86)80180-0","article-title":"Clinical applications of free temporoparietal flaps in hand reconstruction","volume":"11","author":"Upton","year":"1986","journal-title":"J Hand Surg [Am]"},{"issue":"4","key":"2024030419495243600_CIT0025","doi-asserted-by":"crossref","first-page":"534","DOI":"10.1097\/00006534-198804000-00008","article-title":"Use of the temporoparietal free fascial flap in the upper extremity","volume":"81","author":"Hing","year":"1988","journal-title":"Plast Reconstr Surg"},{"issue":"5","key":"2024030419495243600_CIT0026","doi-asserted-by":"crossref","first-page":"664","DOI":"10.1016\/0363-5023(94)90203-8","article-title":"Use of the double-layered free temporal fascia flap for upper extremity coverage","volume":"19","author":"Hiras\u00e9","year":"1994","journal-title":"J Hand Surg [Am]"},{"issue":"6","key":"2024030419495243600_CIT0027","doi-asserted-by":"crossref","first-page":"1639","DOI":"10.1097\/00006534-200111000-00031","article-title":"The Sandwich temporoparietal free fascial flap for tendon gliding","volume":"108","author":"Biswas","year":"2001","journal-title":"Plast Reconstr Surg"},{"key":"2024030419495243600_CIT0028","first-page":"771","article-title":"Microsurgical thumb repair and reconstruction","volume-title":"J Hand Surg Eur Vol","author":"Adani","year":"2017"}],"container-title":["Journal of Burn Care &amp; Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jbcr\/advance-article-pdf\/doi\/10.1093\/jbcr\/irad185\/53976371\/irad185.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/45\/2\/493\/56828209\/irad185.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jbcr\/article-pdf\/45\/2\/493\/56828209\/irad185.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,4]],"date-time":"2024-03-04T19:50:57Z","timestamp":1709581857000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jbcr\/article\/45\/2\/493\/7429386"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,11,20]]},"references-count":28,"journal-issue":{"issue":"2","published-online":{"date-parts":[[2023,11,20]]},"published-print":{"date-parts":[[2024,3,4]]}},"URL":"https:\/\/doi.org\/10.1093\/jbcr\/irad185","relation":{},"ISSN":["1559-047X","1559-0488"],"issn-type":[{"value":"1559-047X","type":"print"},{"value":"1559-0488","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,3,1]]},"published":{"date-parts":[[2023,11,20]]}}}