Superficial Palmar Branch of the Radial Artery, Medial Plantar Artery Perforator, and Medial Sural Artery…

Cohort studyMicrosurgery· Jul 2026

Superficial Palmar Branch of the Radial Artery, Medial Plantar Artery Perforator, and Medial Sural Artery Perforator Free Flaps in Digital Soft Tissue Reconstruction: Comparisons of Clinical Outcomes From a Retrospective Institutional Series.

Cansu Yalçın, Naz Keçeci, Safa Manav … Sebat Karamürsel

Microsurgery & FlapsCohort studyTreatmentQ1IF 1.5

SPBRA flap gave better sensory recovery than MPAP and MSAP flaps in digital reconstruction

Superficial Palmar Branch of the Radial Artery, Medial Plantar Artery Perforator, and Medial Sural Artery Perforator Free Flaps in Digital Soft Tissue Reconstruction: Comparisons of Clinical Outcomes From a Retrospective Institutional Series.

Cansu Yalçın … Sebat Karamürsel

Microsurgery · Jul 2026 · Q1 in Surgery

Background

Digital defects requiring soft tissue reconstruction are still challenging.

Purpose

To evaluate the functional results, Sollerman hand function test (sollerman hand function test) was used.

Methods

This retrospective institutional study was conducted in accordance with the STROBE guidelines.

n = 28 patients

Results

SPBRA flap gave finer two-point discrimination, better sensory recovery than MPAP and MSAP

8.1mm

SPBRA

11.78mm

MPAP

15mm

MSAP

More results

The average ages of the patients were 42.3 ± 13.1, 44.4 ± 14, and 42.5 ± 13.9, respectively.

Sollerman hand function test scores were comparable among groups (MSAP: 70.56 ± 7.60, MPAP: 70.22 ± 6.61, SPBRA: 71.40 ± 4.67; p > 0.05).

More results

Cold intolerance scoring scale scores were significantly higher in SPBRA (48 ± 10.97) than in MPAP (19.56 ± 13.07) and MSAP (15.00 ± 12.58) (p < 0.05).

As a result of the correlation analysis, a statistically significant and moderately negative relationship was found between the 2PD and cold intolerance scoring scale scores (r = -0.536, p = 0.003).

“

Conclusion

The flaps showed relative strengths depending on the parameters evaluated. Therefore, it is not possible to identify a single flap as the definitive first-choice option.

Superficial Palmar Branch of the Radial Artery, Medial Plantar Artery Perforator, and Medial Sural Artery Perforator Free Flaps in Digital Soft Tissue Reconstruction: Comparisons of Clinical Outcomes From a Retrospective Institutional Series.

Superficial Palmar Branch of the Radial Artery, Medial Plantar Artery Perforator, and Medial Sural Artery Perforator Free Flaps in Digital Soft Tissue Reconstruction: Comparisons of Clinical Outcomes From a Retrospective Institutional Series.

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