The subcutaneous laterodigital reverse flap

Tremolada, Carlo; Abbiati, G.; Petrolati, M.

doi:10.1016/s0266-7681(96)80277-4

Cited by 5 publications

(7 citation statements)

References 0 publications

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“…In one sense, the type of flap perfusion in this modified myocutaneous ALT flap is very similar to what is already commonly observed in the radial forearm flap, posterior interosseous flap, and also flaps used in hand reconstruction, such as the Foucher flap (also known as the first dorsal metacarpal artery flap) (36,37), the laterodigital reverse flap (38) and many others (39,40). These flaps are perfused by numerous small arterioles that form networks embedded in the fascia and septum.…”

Section: Discussionsupporting

confidence: 68%

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Harvesting the anterolateral thigh flap with non-sizable perforators

Zapata-Ospina

Chen

Tee

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Section: Discussionsupporting

confidence: 68%

“…These flaps are perfused by numerous small arterioles that form networks embedded in the fascia and septum. With venae comitantes not even visible, these flaps rely on the venule networks in subcutaneous fat for venous drainage (38). Similarly, the ALT can also rely on these small nonsizable perforators for perfusion.…”

Section: Discussionmentioning

confidence: 99%

Harvesting the anterolateral thigh flap with non-sizable perforators

Zapata-Ospina

Chen

Tee

et al. 2021

Journal of Plastic, Reconstructive & Aesthetic Surgery

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“…Laulakos in his series narrowed the indications outlining the dorsal reverse adipofascial flap just for trasverse or dorsal oblique amputations that spare germinal matrix (Laoulakos et al, ). Many authors described some refinements and tips about the reverse adipofascial flap (Delia et al, ; Laoulakos et al, ; Tremolada, Abbiati, Del Bene, & Blandini, ).…”

Section: Discussionmentioning

confidence: 99%

Modified single pedicle reverse adipofascial flap for fingertip reconstruction

et al. 2018

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Background: Homodigital adipofascial flap is a well-established method for treating a distal fingertip defect; nonetheless, its use has some limitations. Reconstruction of fingertip injuries, with radial or ulnar tissue loss, may lead to some difficulties in providing an adequate bone coverage.The standard bipedicled technique did not allow the flap to cover the bone exposure without excessive tension. In our series, the reverse adipofascial flap had a single pedicle. The modified technique, because of its improved degree of rotation, granted the flap to reach either radial or ulnar tissue losses. Patients and Methods:We treated 15 fingertip amputations distal to the lunula (9 Allen's type II and 6 type III), the mean size of defects was 2.7 cm 2 (range, 1.8-3.2 cm 2 ), the mean age of patients was 44 years (range, 22-63 years). Quick Disabilities of the Arm, Shoulder, and Hand score and Visual Analogue Scale were evaluated along with a 2-point discrimination test; the aesthetic satisfaction of the patients was estimated subjectively using a 5-point Likert scale. Results: Mean flap size was 3.6 cm 2 (range, 2.5-4.2 cm 2 ), primary flap survival was observed in 14 out of 15 cases, partial flap necrosis was observed in 1 case, the nail grew in all fingers in about 6 months. Mean proximal and distal interphalangeal joint motion was 89 (range, 80 -100 ) and 71 (range, 65 -80 ), respectively. No complications were observed at the donor site.The median static 2-point discrimination was 4.5 mm (range, 3-8 mm), the mean quick DASH score was 2.6 (range, 0-9.1). All patients returned to work within a mean of 4.4 weeks (range, 4-5 weeks). The follow-up was 12 months.Conclusions: Single pedicle reverse adipofascial flap is an effective technique. This modified procedure allows a wider degree of flap rotation; it represents the ultimate arrow in our bow to address some particular defect geometry.

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“…In addition, skin grafting is not usually considered because of problems associated with wound contraction, nongliding of tendons directly under skin grafts, and avascular necrosis of the distal bones. Although local flaps, such as palmar advancement flaps, homo‐ or hetero‐digital flaps, cross finger flaps, or distally‐based dorsal hand flaps offer the main advantage of “replacing like with like,” their use is limited by the size and location of the defect 22–24…”

Section: Discussionmentioning

confidence: 99%

Free fasciocutaneous flaps for reconstruction of complete circumferential degloving injury of digits

Lin

Chen

et al. 2012

Microsurgery

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Complete circumferential degloving injury of the digits usually results in a large cutaneous defect with tendinous structure and bone and joint exposure. When revascularization is not possible, a thin and adequately sized flap is required to resurface the defect, restore finger function, and prevent amputation. In this report, we present our experience with reconstruction of the entire circumferential degloving injury of the digits using free fasciocutaneous flaps. Between February 2006 and January 2011, 9 male patients with circumferential degloving injury of 9 digits underwent reconstruction using free fasciocutaneous flap transfer with the posterior interosseous artery flap, medial sural artery flap, anteromedial thigh flap, or radial forearm flap. The average flap size was 14.2 × 6.9 cm. Donor sites were closed primarily or covered with split-thickness skin graft. All flaps survived completely and the donor sites healed without complications. The mean follow-up period was 34.8 months. A maximum Kapandji score (10/10) was seen in 2 cases with crushed thumbs. All patients could achieve good key pinch and grasping functions. All skin flaps showed acceptable static 2-point discrimination and adequate protective sensation. Patient satisfaction for resurfaced digits averaged 9 on a 10-points visual analogic scale. In conclusion, the free fasciocutaneous flaps used were thin and did not interfere with finger movements. The patient's finger formed a smooth contour and acceptable functional results were obtained after reconstruction. This method may be a valuable alternative for reconstruction of entire circumferential avulsion injury of the digits.

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The subcutaneous laterodigital reverse flap

Cited by 5 publications

References 0 publications

Harvesting the anterolateral thigh flap with non-sizable perforators

Harvesting the anterolateral thigh flap with non-sizable perforators

Modified single pedicle reverse adipofascial flap for fingertip reconstruction

Free fasciocutaneous flaps for reconstruction of complete circumferential degloving injury of digits

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