Microvascular soft tissue reconstruction of the digits

Free medial plantar artery perforator flap for finger pulp reconstruction: Report of a series of 10 cases

“…Although arterialized venous flaps are well-documented in finger, 5,16,30,31 and pulp reconstruction, 32 they noted disadvantages include postoperative congestion and instability during pinching and grasping. Finally, owing to the donor site of the venous flap was volar aspect of the distral forearm, patients who receive this flap, particularly those in Asian countries, may feel stigmatized by the transverse scarring it produces on the wrist.…”

“…Thus, given the unique characteristics of the finger pulp, the medial plantar area is the preferred donor site. Although the free MPAP technique has been reported and presented in the related literature, [14][15][16] no serial study has examined the use of this flap in finger pulp reconstruction. The purpose of this report is to present the our results with using the medial plantar artery perforator flap for reconstruction of composite finger pulp defects and restoration of fingertip sensation after traumatic injury.…”

Functional reconstruction of a zone one digital defect using a homodigital island flap with vascularized extensor tendon in a young musician. A worthwhile operation?

“…Alternatives to these are small distant flaps, such as groin flaps [3], abdominal wall flaps [4] and sometimes also homodigital pedicle flaps. Microsurgical reconstruction of the fingers, for example with free mini groin flaps [5] or lateral arm flaps, have been described [6]. These are very elaborate approaches and are usually used for large defects, or where local or homodigital flap surgery is unable to be used.…”

Soft Tissue Cover of the Hand

“…In a review of 18 small free fl aps for the digits, a fl ap necrosis of 11 % and partial fl ap necrosis rate of 6 % was noted [ 74 ]. This series included 10 venous fl ow through, 1 lateral arm, 1 medial plantar, 2 free Posterior interosseus fl aps, 1 toe pulp and 3 fi rst webspace fl aps.…”