Fingertip Reconstruction With a Flap Based on the Dorsal Branch of the Digital Artery at the Middle Phalanx

Qin, Jianzhong; Wang, Pei-ji

doi:10.1097/sap.0b013e31821ee3c5

Cited by 21 publications

(11 citation statements)

References 22 publications

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“…Being a donor nerve, the dorsal branch of the digital nerve has been attached with the flap for sensory coverage [18]. However, only one dorsal branch was used for neurotization in most of the reports described previously [19,20]. In this manner, sensory return might not meet the functional requirements of the fingertip or pulp.…”

Section: Discussionmentioning

confidence: 99%

Bilaterally innervated dorsal digital flap for sensory reconstruction of digits

Chen

Tang

Zhao

2014

Injury

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Section: Discussionmentioning

confidence: 99%

Bilaterally innervated dorsal digital flap for sensory reconstruction of digits

Chen

Tang

Zhao

2014

Injury

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“…Hand traumatism may result in soft tissue defects, which cause functional loss [1]. The thumb is crucial in hand function.…”

Section: Introductionmentioning

confidence: 99%

Total thumb reconstruction by an original groin pocket flap-graft design

Lupon¹,

Lellouch²,

Girard³

et al. 2021

J Clin Images Med Case Rep

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Background: The thumb plays a key role in hand function for precise dexterity. The surgical treatment of full avulsions of the digital skin sheath by tearing (ring syndrome) is complex and the management of these lesions is challenging for the reconstructive surgeon. When replantation is not possible, other alternatives are available if the covering tissue is thin and flexible. Case presentation: A 30-year-old male, tobacco addict, had a thumbsequelae similar to a stage III ring finger. Revascularization attempt failed and the skin envelope necrosed secondarily. A groin pocket flapgraft allowed a conservation of his thumb with a satisfactory aesthetic and functional result. Conclusions: We described a thumb coverage by a groin flapgraft using an original pocket design. This simple and safe procedure, in the carefully selected patient can successfully address functional and aesthetic concerns simultaneously, with minimal sequelae at the donor site. This technique can be used to treat a cutaneous tearing of the other fingers.

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“…Since then, the homodigital reverse laterodorsal fasciocutaneous flap has been widely applied in the reconstruction of the injured fingers with small- to medium-sized defects, such as the fingertip and pulp. [ 11 – 13 ] However, reconstruction of the complex nail matrix defect using this flap is rarely described in the literature.…”

Section: Introductionmentioning

confidence: 99%

Reconstruction of complex nail matrix defect using the homodigital reverse fasciocutaneous flap

Liu

Li²,

Li³

et al. 2018

Medicine

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Reconstruction of complex and severe nail matrix defects with the exposure of bone, tendon or joint continues to be challenging for the surgeon. We present our experience using the homodigital reverse laterodorsal fasciocutaneous flap in the reconstruction of complex nail matrix defects.Six patients (7 fingers) of complex nail matrix defects with the exposure of bone, tendon or joint were treated with the homodigital reverse laterodorsal fasciocutaneous flap based on the dorsal branches of the proper digital artery. In this study, the composite tissue defect size ranged from 1.0 × 1.5 cm2 to 1.3 × 2.5 cm2. All 6 patients participated in follow-up.All flaps survived well, and no complications were found postoperatively. The mean size of the flaps was 1.4 × 2.4 cm2 (range, 1.2 × 2.0–1.5 × 3.0 cm2); the mean follow-up period was 8 months (range, 4–15 months); patients’ average time to get back to their former jobs was 4.3 weeks (range, 3–6 weeks) postoperatively. All patients were satisfied with the appearance and functional outcomes of the fingers.The homodigital reverse laterodorsal fasciocutaneous flap based on the dorsal branches of the proper digital artery is an ideal surgical method to reconstruct the complex and severe nail matrix defect.

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Fingertip Reconstruction With a Flap Based on the Dorsal Branch of the Digital Artery at the Middle Phalanx

Abstract: This sort of flap based on the DB of the proper digital artery was a simple and reliable alternative to reconstruct fingertip defects at the primary stage.

Cited by 21 publications

References 22 publications

Bilaterally innervated dorsal digital flap for sensory reconstruction of digits

Bilaterally innervated dorsal digital flap for sensory reconstruction of digits

Total thumb reconstruction by an original groin pocket flap-graft design

Reconstruction of complex nail matrix defect using the homodigital reverse fasciocutaneous flap

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