Use of a Tailored Abdominal Pedicle Flap for Surgical Reconstruction of the Hand

Comparison of Hybrid Abdominal Flap versus Homodigital Neurovascular Island Flap for Fingertip Amputation

“…The random pattern abdominal flap is also the commonly used technique for fingertip amputations. Abdominal flaps have been considered random flaps since their first description in 1898 [ 13 ]. Various anatomical studies of the abdominal wall showed the pedicled abdominal flap based on the superficial inferior epigastric artery and superficial circumflex iliac artery [ 18 , 19 , 20 ].…”

“…The random-pattern abdominal flap, first described by Biggs in 1898, could be a reliable and time-saving option to preserve a finger’s length and overall contour [ 13 ]. A successful sensory recovery after an abdominal flap coverage over a fingertip amputation has been proven [ 9 ].…”

Pediatric Thermal Injury: Acute Care and Reconstruction Update

“…The unique anatomy of the hand, with the close proximity of vital structures such as joints and tendons to a rather thin surface, may require the use of flap reconstruction either in the acute or secondary situation. [64][65][66] Because of the multiple small joints of the hand and wrist, contractures resulting in subluxation are not uncommon. Fortunately, in children, these can exist for prolonged periods of time and still be salvaged with appropriate releases.…”

Versatility of the Reverse Dorsoulnar Fasciocutaneous Flap in Coverage of Hand Defects: Clinical Experience With 36 Cases

“…However, inevitable sacrifice of one of the major arteries of the upper extremity, donor-site morbidity, aesthetically unacceptable results, and inconsistent anatomy are the drawbacks of many of these choices. [1][2][3][4][5][6][7][8][9] In 1988, Becker and Gilbert introduced the reverse dorsoulnar flap as a perforator flap nourished by the dorsoulnar artery and venae comitantes. 10,11 Since then, a number of clinical reports have been published regarding its use in soft tissue defects of the hand.…”