Evidence map›Paper›PMID 41368530›Full record

ArticleFrontiers in surgery2025

Clinical impact of free dorsal interosseous flap combined with tendon graft on function recovery in one-stage reconstruction of composite dorsal wrist soft tissue defects.

Lingling Shi, Luobing Ding, Jianping Zhang, Ruilong Su, Weifa Shi, Zhiming Guo

Abstract read
In one paragraph

Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Lingling ShiDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.
Luobing DingDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.
Jianping ZhangDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.
Ruilong SuDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.
Weifa ShiDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.
Zhiming GuoDepartment of Orthopaedics, The 909th Hospital, School of Medicine, Xiamen University, Zhangzhou, Fujian, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: This study aimed to clarify the clinical efficacy of the free dorsal interosseous flap (DIOF) combined with tendon grafting in one-stage reconstruction of composite dorsal wrist soft tissue defects, and comprehensively evaluate the survival rate of the flap, wrist joint function recovery, and subjective experience of patients. Methods: A retrospective study was conducted on 28 patients (18 men and 10 women) with composite dorsal wrist defects (size, 5 cm × 8 cm-14 cm × 10 cm, involving 3-5 extensor tendons) treated between January 2019 and June 2023. All patients underwent one-stage reconstruction using the free DIOF with tendon grafting. In addition to these conventional evaluation indicators [flap survival rate, wrist total active motion (TAM), grip strength recovery, DASH scores, Mayo scores, and sensory recovery], high-frequency ultrasound tendon healing evaluation, laser Doppler flap blood flow monitoring, wrist stability test, and Likert scale satisfaction survey were added. The patients were followed up for 12 months and analyzed using a multi-dimensional evaluation system. Results: The flap survival rate was 95.2% (27/28), with one case of partial necrosis healing after a dressing change. At 12 months, TAM reached (112.5 ± 11.8)°, grip strength recovery was (83.7 ± 7.5) %, DASH scores improved to (13.2 ± 3.5) points, and Mayo scores depicted excellent/good outcomes in 85.7% (excellent 15, good 9). Sensory recovery achieved S3 Conclusion: One-stage reconstruction using free DIOF combined with autologous tendon grafting effectively facilitates wrist joint function recovery, demonstrating satisfactory clinical outcomes.

Indexed as

dorsal interosseous flapdorsal wrist defectjoint function recoverytendon graftingultrasonic monitoring

Identifiers

PMID41368530
PMCPMC12682892

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.