Immediate De-Syndactylization of the Reverse Radial Forearm Flap
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.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.000 | 0.001 |
| Meta-epidemiology (narrow) | 0.001 | 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 | 0.001 |
| Insufficient payload (model declined to judge) | 0.002 | 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 itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".