Der gestielte Leistenlappen zur Defektdeckung an der Hand

Jokuszies, Andreas; Niederbichler, Andreas D.; Hirsch, Nina; Daniel, Kahlmann; Herold, Christian; Vogt, Peter M.

doi:10.1007/s00064-010-9017-6

Cited by 9 publications

(2 citation statements)

References 10 publications

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“…Another option of the reconstructive ladder is a distant flap like the groin flap. 7 Although large defect areas can be covered, this more or less historic approach comes along with an immobilization of several greater joints and a high level of discomfort for the patient. A technically more challenging and time-consuming approach is the use of microsurgical venous flow through flaps.…”

Section: Discussionmentioning

confidence: 99%

Reconstruction of Extensive Volar Finger Defects with Double Cross-Finger Flaps

Buehrer

Arkudas

Ludolph

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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Summary:Cross-finger flaps still represent a viable option to reconstruct small- to medium-sized full-thickness finger defects but they are not commonly used if larger areas have to be covered. We present 2 cases showing a simple and pragmatic approach with homodigital double cross-finger flaps to reconstruct extensive volar finger soft-tissue defects. We observed very low donor-site morbidity and excellent functional and aesthetic outcomes. Furthermore, there is no need for microsurgical techniques or equipment when using this method. Although this case report only addresses volar defects, one might also think of applying this concept to dorsal defects using reversed double cross-finger flaps.

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Section: Discussionmentioning

confidence: 99%

Reconstruction of Extensive Volar Finger Defects with Double Cross-Finger Flaps

Buehrer

Arkudas

Ludolph

et al. 2016

Plastic and Reconstructive Surgery - Global Open

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“…Similarly, George et al [67] showed the early division of various pedicled flaps using progressive compression of the skin bridge in 1996. However, a majority of groin flap case series use a minimum of a 3-week delay prior to pedicle division [68][69][70], as initially described by McGregor [14]. Regarding lower limb reconstructions, the conventional autonomization delay is considered to be slightly longer.…”

Section: Partmentioning

confidence: 99%

The Autonomization Principle in Vascularized Flaps: An Alternative Strategy for Composite Tissue Scaffold In Vivo Revascularization

Berkane,

Kostyra,

Chrelias

et al. 2023

Bioengineering

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Autonomization is a physiological process allowing a flap to develop neo-vascularization from the reconstructed wound bed. This phenomenon has been used since the early application of flap surgeries but still remains poorly understood. Reconstructive strategies have greatly evolved since, and fasciocutaneous flaps have progressively replaced muscle-based reconstructions, ensuring better functional outcomes with great reliability. However, plastic surgeons still encounter challenges in complex cases where conventional flap reconstruction reaches its limitations. Furthermore, emerging bioengineering applications, such as decellularized scaffolds allowing a complex extracellular matrix to be repopulated with autologous cells, also face the complexity of revascularization. The objective of this article is to gather evidence of autonomization phenomena. A systematic review of flap autonomization is then performed to document the minimum delay allowing this process. Finally, past and potential applications in bio- and tissue-engineering approaches are discussed, highlighting the potential for in vivo revascularization of acellular scaffolds.

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The free triple chimeric dorsalis pedis flaps for repair of multifinger soft tissue defects: A report of two cases

Xie¹,

Hu²,

Miao³

et al. 2013

Microsurgery

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The reconstruction of complex hand injury such as multifinger soft tissue defect remains a challenging problem. Two cases of repair of multifinger injury with exposed bones using the free chimeric flaps based on the dorsalis pedis vessels are presented. Two male patients, 46 years old and 36 years old, suffered from a thermocompression injury to the dorsum of fingers resulting in soft tissue defects of multiple fingers. The chimeric free flap was designed and applied to cover the defects. The donor sites were covered by skin grafts. The postoperative courses were uneventful. Both patients were followed up for 10-12 months. The maximal flexion angle of the distal interphalangeal, proximal interphalangeal, and metacarpophalangeal joints were 40°-85° at the end of the follow-up. The protective sensation was achieved on the dorsal fingers. The report suggests that the free chimeric flaps based on the dorsalis pedis artery may be an alternative for the reconstruction of the multifinger dorsal soft tissue defects.

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Der gestielte Leistenlappen zur Defektdeckung an der Hand

Cited by 9 publications

References 10 publications

Reconstruction of Extensive Volar Finger Defects with Double Cross-Finger Flaps

Reconstruction of Extensive Volar Finger Defects with Double Cross-Finger Flaps

The Autonomization Principle in Vascularized Flaps: An Alternative Strategy for Composite Tissue Scaffold In Vivo Revascularization

The free triple chimeric dorsalis pedis flaps for repair of multifinger soft tissue defects: A report of two cases

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