Immediate De-Syndactylization of the Reverse Radial Forearm Flap
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
The reverse radial forearm flap was used to cover soft tissue defects on the dorsal aspect of the hand and fingers with immediate de-syndactylization of the distal part of the flap in four cases. A total of 14 fingers were covered with de-syndactylized segments and these were divided into two groups. In group A (nine fingers) the defect extended to or just distal to the proximal interphalangeal (PIP) joint. The defect in group B (five fingers) was proximal to the PIP joint. Primary wound healing was observed in the proximal and lateral edges of the flap in all cases. However, delayed wound healing was observed in the distal edge of five of the 14 segments. All five segments that suffered from edge necrosis were from group A, indicating that longer segments are more likely to develop distal edge ischaemia. The fact that there was no major skin loss in any of the patients despite immediate de-syndactylization indicates that the reverse radial forearm flap has a reliable blood supply and can support a portion with a random blood supply without significant necrosis.
Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.
Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.000 | 0.000 |
| Research integrity | 0.000 | 0.000 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it