A REVERSED DIGITAL ARTERY ISLAND FLAP FOR THE TREATMENT OF FINGERTIP INJURIES

Citation
Jw. Sapp et al., A REVERSED DIGITAL ARTERY ISLAND FLAP FOR THE TREATMENT OF FINGERTIP INJURIES, The Journal of hand surgery, 18A(3), 1993, pp. 528-534
Citations number
NO
Categorie Soggetti
Orthopedics,Surgery
Journal title
ISSN journal
03635023
Volume
18A
Issue
3
Year of publication
1993
Pages
528 - 534
Database
ISI
SICI code
0363-5023(1993)18A:3<528:ARDAIF>2.0.ZU;2-R
Abstract
A series of complex fingertip injuries managed with a reversed digital artery island flap is presented. An island of skin on the side of the proximal phalanx can be elevated on a digital arterial pedicle and ro tated to the fingertip to provide abundant skin and subcutaneous cover age for acute or chronic deficits. The flap receives retrograde flow f rom its ipsilateral digital artery after passage through dorsal and pa lmar vascular plexuses at the middle and distal phalangeal level. Thir teen flaps were performed on eleven patients with no loss of any porti on of the flap. The advantages of this procedure include a reconstruct ion that necessitates surgery only on the injured digit, allowing for the treatment of single or multiple fingertip injuries that provides f unctional sensation in the reconstructed fingertip without causing los s of motion.