An Innervated Cross-Finger Flap for Fingertip Reconstruction

A Systematic Review of Outcomes and Complications of Primary Fingertip Reconstruction Using Reverse-Flow Homodigital Island Flaps

“…Local flaps replace tissues ''like-with-like,'' but these flaps are limited to small-sized defects [21][22][23][24]. Various other methods of reconstruction have been used, including homodigital island flaps [1][2][3][4][5][6][7][8][9][10][11][12][13][14][25][26][27][28][29], cross-finger flaps [29][30][31], thenar flaps [32], and toe free flaps [33,34]. However, none has yielded entirely satisfactory results.…”

Bilaterally innervated dorsal digital flap for sensory reconstruction of digits

“…According to the Michigan Hand Outcomes Questionnaire, the median (range) patient satisfaction score of the study group was 5 (4)(5) and that of the comparison group was 4 (4-5). A significant difference was seen between the two groups (P = 0.013).…”

“…Sensation of the digit is important for daily activities, especially for some areas, such as fingertip, pulp, and the volar aspect of the digit [5]. Although some surgical techniques are available for tissue reconstruction, sensory coverage in these areas remains challenging [15].…”

“…The modified sensate dorsal digital flap may be an alternative for sensory reconstruction in these important areas. The dorsum of the finger is a reliable flap donor site in reconstructive hand surgery owning to its similar skin quality to the original [5]. Anatomical studies demonstrated that the distribution of the dorsal branches of the digital artery is regular and repetitive in each phalanx [6,7].…”

Innervated Reverse Island Flap Based on the End Dorsal Branch of the Digital Artery: Surgical Technique

“…[1][2][3][4][5][6][7][8][9][10][11] Appropriate therapy should maintain the normal digital length, minimize the aesthetic loss, preserve function of the nail and interphalangeal joints, and provide sensate soft-tissue covering without pain during use. Advancement flaps have limitations in size and arc rotation and are ideally suited only for fingertip or pulp defects at the midnail level.…”