Coverage of the dorsal surface of a digit based on a pedicled free-style perforator flap concept

Usami, Satoshi; Inami, Kohei; Hirasé, Yuichi

doi:10.1016/j.bjps.2018.01.028

Cited by 14 publications

(11 citation statements)

References 27 publications

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“…Recently, DAP flaps have often been used for post-traumatic skin defects, such as dorsal, lateral, and palmar skin defects. 5 , 6 To the best of our knowledge, this is the first report of tissue defects after fasciectomy of Dupuytren's contractures covered with multiple DAP flaps.…”

Section: Discussionmentioning

confidence: 86%

Use of digital artery perforator flaps for repairing soft tissue defects after fasciectomy for Dupuytren's contractures in the ring and little fingers: A case report

Morimoto

Ishiko²,

Kawabata³

et al. 2022

JPRAS Open

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Section: Discussionmentioning

confidence: 86%

Use of digital artery perforator flaps for repairing soft tissue defects after fasciectomy for Dupuytren's contractures in the ring and little fingers: A case report

Morimoto

Ishiko²,

Kawabata³

et al. 2022

JPRAS Open

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“…DAP flaps can also be used for back, lateral, and palm lateral skin defects. 7 , 8 In this case, the skin defect was on the volar side of the PIP joint and a spindle-shaped flap was created on the ulnar side of the proximal phalanx. Elevated flaps were rotated 90° around the perforator and transferred to the defects.…”

Section: Discussionmentioning

confidence: 99%

Digital artery perforator flap transfer for volar soft tissue defect due to dissociation from joint contracture in camptodactyly

et al. 2021

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“…Clinically, the cutting edge of the artery propeller perforator flap generally does not exceed the proximal interphalangeal joint. When the flap is harvested beyond the perforator supply area, the flap will be partially necrotic and is not suitable for the repair of large defects [21]. This greatly limits the application of this procedure.…”

Section: Discussionmentioning

confidence: 99%

Propeller perforator flaps from the dorsal digital artery perforator chain for repairing soft tissue defects of the finger

Chen

Jiang

et al. 2019

BMC Surg

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BackgroundWhen restoring the appearance and function of the fingers, hand surgeons face a challenge in choosing a suitable surgical method to repair finger skin defects.MethodsIn this study, we designed a long elliptical flap based on a propeller perforator flap and located slightly toward the dorsal lateral aspect of the finger. The flap with a pedicle consisting of the dorsal perforator of the distal digital artery and dorsal digital artery perforator chain is rotated to cover a large wound on the distal end. From December 2014 to December 2017, 10 patients with finger soft tissue defects were treated with the propeller perforator flap described in this study.ResultsAll flaps survived after surgery, and 2 had a transient venous congestion. After a follow-up period of 3 to 12 months, the static two-point discrimination of the flap was 8.06 ± 1.75 mm, and the range of motion was 149.4 ± 12.9°. This designed flap can span several angiosomes supplied by the perforators. Due to the inclusion of a vessel chain between the dorsal digital artery perforators, the length-to-width ratio of the flap can be up to 3:1.ConclusionsThis technique increases the size of flap that can be harvested safely while retaining a reliable blood supply. The present study describes a new method for repairing soft tissue defects of the finger by using the technique of propeller perforator flaps based on dorsal digital artery perforator chains.Trial registrationThe registration number of this study is ChiCTR1800014588; it has been retrospectively registered with Chinese Clinical Trial Registry (chictr.org.cn), 18/11/2019.

show abstract

Coverage of the dorsal surface of a digit based on a pedicled free-style perforator flap concept

Cited by 14 publications

References 27 publications

Use of digital artery perforator flaps for repairing soft tissue defects after fasciectomy for Dupuytren's contractures in the ring and little fingers: A case report

Use of digital artery perforator flaps for repairing soft tissue defects after fasciectomy for Dupuytren's contractures in the ring and little fingers: A case report

Digital artery perforator flap transfer for volar soft tissue defect due to dissociation from joint contracture in camptodactyly

Propeller perforator flaps from the dorsal digital artery perforator chain for repairing soft tissue defects of the finger

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