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Case Report Original Article HandHand Microsurg 2016;5:160-163 Microsurg 2014;X:X-X doi:10.5455/handmicrosurg.211934 doi:10.5455/handmicrosurg.163944

Enhancement of Palmar Advancement Flap: A Simple Modification Oguz Kayiran1, Ercan Cihandide2

The importance of proprioception in the diagnosis of cases ABSTRACT Background: Distal fingertip amputations bone is challengingsyndrome for the surgeon to manage. In order to rethought towithbeexposed Munchausen

construct a good sensate pulp with appropriate closure, various flaps are advocated in the literature. Of these, palmar 1 2 3 advancement flap, first described by Moberg 1964, comprises of the most popular Mustafa NaziminKaralezli , Yunusone Guzel , Serhat Yildirimoptions. Methods: Thirteen patients (11 male, 3 female) with fingertip injuries were operated. Following the elevation of Moberg flap, proposed modifications were carried out. Joint mobility and pulp sensitivity were recorded as well and advancement ABSTRACT scores were noted before and after the modification. These scores were assessed statistically. Results: No Syndrome complications wereas noted and there was no need who for additional surgery. Excellent joint mobility and pulp Munchausen is known a condition where individuals seek attention for themselves present at healthcare sensitivity were maintained. This modification showed statistically improvement in the (p