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MATERIALS AND METHODS: This review was constructed in accordance with Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. A comprehensive literature review of articles indexed to PubMed was performed using the keywords “turn-over”, “reversed”, “hinged”, “open book”, “cross finger”, “transdigital”, “heterodigital”, “adipofascial”, “dermal”, “deepithelialized” and “flap”. Two independent reviewers screened the abstracts with regards to exclusion criteria which consisted of non-digital flaps, homo-digital flaps, classical cross finger and non-adipofascial flaps. Selected manuscripts were analyzed in full text with regards to references and citations in order to expand the number of relevant articles. Independent data extraction was performed by two reviewers utilizing pre-determined study characteristics and outcomes. These characteristics included, patient demographics, defect characteristics, clinical diagnosis, surgical technique, duration of follow-up, post-operative protocol such as immobilization, time of flap division, and methods for adipofascial flap and donor site coverage. The prevalence of these characteristics was calculated to summarize indications, surgical techniques and common reported outcomes.

Abstract: Carpal Bone Osteomyelitis after IV Drug Abuse