JOURNAL ARTICLE

The Zitelli Bilobed Flap on Skin Coverage After Mucous Cyst Excision: A Retrospective Cohort of 33 Cases

Isidro Jiménez, Pedro J Delgado, Ricardo Kaempf de Oliveira
Journal of Hand Surgery 2017, 42 (7): 506-510
28434834

PURPOSE: To study the time to wound healing and recurrence rate achieved in the treatment of distal interphalangeal joint mucous cysts using the Zitelli modified bilobed flap.

METHODS: We surgically treated 33 patients from January 2006 to June 2015. We assessed demographic data, comorbidities, location and size of the cyst, time to wound healing, and complications.

RESULTS: The most affected finger was the right middle finger. All flaps survived and wounds healed in 14 days on average. The mucous cyst recurred in 1 of 33 cases. There were no major complications.

CONCLUSIONS: The Zitelli bilobed flap can provide good-quality skin coverage over the distal interphalangeal joint in a short period.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

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