The Subcutaneous Laterodigital Reverse Flap

Tremolada, Carlo; Abbiati, G.; Bene, Massimo Del; Blandini, Daniele

doi:10.1097/00006534-199804040-00029

Cited by 21 publications

(9 citation statements)

References 13 publications

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“…Vascular supply to the subcutaneous tissue of the dorsum of the long digits has been first described by Tremolada et al (1998). They were able to show that some perforating branches from the digital arteries supplied the subcutaneous tissue and skin of the dorsum.…”

Section: Discussionmentioning

confidence: 99%

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Homodigital dorsal adipofascial reverse flap: anatomical study of distal perforators and key points for safe dissection

Goletti

Casoli

Sommario

et al. 2010

J Hand Surg Eur Vol

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Dorsal adipofascial flaps have been used in the surgical reconstruction of complex injuries distal to the eponychial fold. Such injuries produce nail matrix devascularization/necrosis so that nail bed reconstruction can be a challenging technical problem. Irregular scarring of the nail bed and regrowth anomalies of the nail lamina can result, with both functional and cosmetic impairment of the finger. This study aimed to define the precise vascular anatomy of the dorsal adipofascial flap that has previously been used to reconstruct such complex soft tissue defects. Specifically, the purpose was to identify the key points of safe dissection for these flaps. Anatomical dissections were performed on 32 long fingers. The vascular tree was injected with suitable contrast and the distal dorsal region of the long fingers was studied.

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Section: Discussionmentioning

confidence: 99%

“…Tremolada et al (1998) first described the subcutis of the dorsum of the finger as a source of flaps to be considered for repair of dorsal digital losses. Their anatomical and clinical studies, however, together with subsequent papers from Braga-Silva et al (2004), focused on repair of proximal digital defects.…”

Section: Introductionmentioning

confidence: 99%

Homodigital dorsal adipofascial reverse flap: anatomical study of distal perforators and key points for safe dissection

Goletti

Casoli

Sommario

et al. 2010

J Hand Surg Eur Vol

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“…Sa vascularisation est fondée sur le même réseau que celui du lambeau cutané adipofascial. Les échecs de la cicatrisation de la greffe sur le lambeau rencontrés dans 30 % des cas par Tremolada [14] ainsi que d'autres problèmes cutanés comme la survenue de kystes épi-dermiques en limitent pour nous les indications.…”

Section: Discussionunclassified

Les lambeaux cutanés à pédicule adipofascial de la face dorsale des doigts longs

Bellemère

Poirier

Gaisne

et al. 2006

Chirurgie de la Main

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“…A homodigital island flap based on the PDA has the disadvantage of sacrificing one of the PDAs (Anne et al, 2009; Takeishi et al, 2006). The reverse axial adipofascial flaps from the laterodigital and dorsal metacarpal or digital areas have the advantage of being easy to perform and preserve the digital nerve and artery, but partial distal necrosis and partial loss of the overlying skin graft are concerns (Camporro et al, 2010; Tremolada et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Repair of a palmar soft tissue defect of the proximal interphalangeal joint with a transposition flap from the dorsum of the proximal phalanx

Zhang

Shao

Zhu³

et al. 2011

J Hand Surg Eur Vol

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This article describes the use of a transposition flap raised from the dorsum of the proximal phalanx for coverage of the volar defects at the proximal interphalangeal joint. The flap was based on the first dorsal branch of the proper digital artery. From January 2007 to March 2009, 14 digits in 14 patients (10 males and 4 females) were treated. There were 5 index, 6 middle, 2 ring, and 1 little finger. All patients underwent surgery 2-9 hours (mean 5 hours) after injury. Soft tissue defects ranged in size from 1.2 × 1.7 cm to 2.1 × 2.3 cm (mean 1.7 × 2 cm). Flap size ranged from 1.5 × 1.7 cm to 2.4 × 2.7 cm (mean 2 × 2.4 cm). Mean pedicle length was 1.1 cm (range 0.8-1.4 cm). All flaps completely survived. At final follow-up from 24-29 months (mean 26 months), mean active motion arcs of the metacarpophalangeal, proximal interphalangeal, and distal interphalangeal joints were 84° (range 75-91°), 86° (range 65-100°) and 54° (range 32-80°), respectively. Our technique is useful and reliable for coverage of a palmar defect over the proximal interphalangeal joint.

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The Subcutaneous Laterodigital Reverse Flap

Cited by 21 publications

References 13 publications

Homodigital dorsal adipofascial reverse flap: anatomical study of distal perforators and key points for safe dissection

Homodigital dorsal adipofascial reverse flap: anatomical study of distal perforators and key points for safe dissection

Les lambeaux cutanés à pédicule adipofascial de la face dorsale des doigts longs

Repair of a palmar soft tissue defect of the proximal interphalangeal joint with a transposition flap from the dorsum of the proximal phalanx

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