VY Advancement, Thenar Flap, and Cross-finger Flaps

Lim, Jin Xi; Chung, Kevin C.

doi:10.1016/j.hcl.2019.08.003

Cited by 32 publications

(19 citation statements)

References 36 publications

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“…Traditional methods have been widely used and have achieved good repair results, including V-Y advancement flaps, cross-finger flaps, and digital artery island flaps ( 1 , 7 ). However, there are obvious deficiencies that limit their application.…”

Section: Discussionmentioning

confidence: 99%

“…However, there are obvious deficiencies that limit their application. V-Y advancement flaps have only one short advancement distance ( 7 ). Cross-finger flaps require a second operation to remove the pedicle ( 24 ).…”

Section: Discussionmentioning

confidence: 99%

“…Various surgical methods reconstructing and repairing finger soft defects were reported, such as V-Y advancement flaps, crossfinger flaps, digital artery island flaps, and thenar flaps (2,3,6,7). The methods using adjacent and similar skin and soft tissues brought satisfying outcomes, but deficiencies and limitations still exist, including limited advancement distance, insufficient dimensions, two-stage surgeries, and donor site morbidity (7,8). Recently, more and more free artery perforator flaps were applied to the treatment of finger and palm skin defects, like the anterolateral thigh flap, lateral arm flap, and radial artery perforator flap (9)(10)(11).…”

Section: Introductionmentioning

confidence: 99%

“…Various surgical methods reconstructing and repairing finger soft defects were reported, such as V-Y advancement flaps, cross-finger flaps, digital artery island flaps, and thenar flaps ( 2 , 3 , 6 , 7 ). The methods using adjacent and similar skin and soft tissues brought satisfying outcomes, but deficiencies and limitations still exist, including limited advancement distance, insufficient dimensions, two-stage surgeries, and donor site morbidity ( 7 , 8 ).…”

Section: Introductionmentioning

confidence: 99%

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Medial plantar artery perforator (MPAP) flap is an ideal option for reconstruction of complex soft tissue defect in the finger: Clinical experience from 11 cases

Wang

Chen

et al. 2022

Front. Surg.

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IntroductionSoft tissue defects of fingers are common in reconstructive plastic surgery, and reconstruction of the defects remains challenging for plastic surgeons. In our study, we reported our experience in finger reconstruction with a medial plantar artery perforator (MPAP) flap, especially using a lobulated MPAP flap for the complex multifinger soft defect.Patients and methodsFrom the period April 2012 to October 2018, 11 patients (9 males and 2 females) with an average age of 44 years old (ranging from 11 to 58) received finger reconstruction with a free MPAP flap. In total, 11 flaps (8 single-lobulated flaps and 3 two-lobulated flaps) were raised from the ipsilateral or contralateral instep area. Trauma and scar contracture caused hand soft tissue loss in all cases.ResultsThe sizes of the flaps ranged from 2×3 to 5×7.5 cm2. All flaps survived intact with no complications. One donor site was closed primarily, and other donor sites were covered with a full-thickness skin graft. The mean follow-up time was 6 months (ranging from 3 to 8 months). During the follow-up period, the patients were satisfied with their appearance without any traces of flap plastic surgery.ConclusionThe MPAP flap is a reliable and acceptable option for the reconstruction of complex soft tissue defects in the finger. Depending on the two branches of the medial plantar artery, the use of the lobulated MPAP flap holds promise in the treatment of multifinger soft tissue defects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Medial plantar artery perforator (MPAP) flap is an ideal option for reconstruction of complex soft tissue defect in the finger: Clinical experience from 11 cases

Wang

Chen

et al. 2022

Front. Surg.

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“…3 The execution of this flap is simple to perform under local or regional anesthesia, and is able to provide adequate padding to establish mechanical and functional stability of the affected digit. 4 Finally, the necessary short-term immobilization is only of the two fingers involved in the reconstruction, allowing the patients to resume normal lives after surgery.…”

mentioning

confidence: 99%

The cross‐toe flap: An alternative method for reconstruction of digital pulp defects

Kieselova

Guiote

Brinca

et al. 2020

Dermatologic Therapy

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NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

Wang

et al. 2022

Journal of Biophotonics

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The use of skin flaps to fill large defects is a key surgical technique in reconstructive surgery, effective real‐time in vivo imaging for flap design and use is urgent. Currently, fluorescent imaging in the second NIR window (NIR‐II; 1000‐1700 nm) is characterized by non‐radiation, less expensive and higher resolution in comparisons with the first NIR window (NIR‐I; 700‐900 nm) and other traditional imaging modalities. In this article, we identified the location and numbers of perforators and choke zone via NIR‐II imaging. Then, eight abdominal perforator flaps were established and the perfusion zones were evaluatedat special time points. Finally, after eight pedicled flaps establishment, NIR‐II imaging was used to guide the optimal timing for division of flap pedicle. The results showed that NIR‐II fluorescence imaging with indocyanine green (ICG) can reliably visualize vascular supply, which makes it to be an accurate and in vivo imaging approach to flap clinical design and use.

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VY Advancement, Thenar Flap, and Cross-finger Flaps

Cited by 32 publications

References 36 publications

Medial plantar artery perforator (MPAP) flap is an ideal option for reconstruction of complex soft tissue defect in the finger: Clinical experience from 11 cases

Medial plantar artery perforator (MPAP) flap is an ideal option for reconstruction of complex soft tissue defect in the finger: Clinical experience from 11 cases

The cross‐toe flap: An alternative method for reconstruction of digital pulp defects

NIR‐II imaging with ICG for identifying perforators, assessing flap status and predicting division timing of pedicled flaps in a porcine model

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