Double reverse-flow island flaps for two adjacent finger tissue defect

Autor: Salim Ersozlu, Cagatay Ozturk, Tufan Kaleli
Přispěvatelé: Uludağ Üniversitesi/Tıp Fakültesi/Ortopedi ve Tramvatoloji Anabilim Dalı., Kaleli, Tufan, Ersözlü, Salim, Öztürk, Çaǧatay, S-6686-2019, AAB-6136-2022
Rok vydání: 2004
Předmět:
Male
Finger tip injury
Surgical Flaps
Nerve anastomosis
Finger Injuries
Orthopedics and Sports Medicine
Reverse-flow flap
Priority journal
Injuries
Digital artery
Hand surgery
Blood flow
General Medicine
Anatomy
Volar flap
Thenar flap
Fingertip tissue loss
Radial artery
Island flap
Flaps (Control Surfaces)
Metacarpal Bones
Female
Digital nerve
Human
Adult
Finger tissue defect
medicine.medical_specialty
Adolescent
Anastomosis
Clinical article
Island Flaps
Tissue flap
Neurosensitive flap
Article
Common Palmar Digital Artery
medicine
Humans
Phalanx
Ulnar artery
Aged
business.industry
Vascularization
Surgical technique
Surgical infection
Hand
Tissue defect
Surgery
Finger joint
body regions
Orthopedics
Treatment failure
Middle phalanx
Tip
Orthopedic surgery
Wounds and Injuries
Reconstruction
business
Zdroj: Archives of Orthopaedic and Trauma Surgery. 124:157-160
ISSN: 1434-3916
0936-8051
DOI: 10.1007/s00402-003-0621-x
Popis: Introduction. Soft-tissue reconstruction of fingertip injuries remains a challenge for hand surgery. Tissue loss of multiple digits is a serious problem for hand surgeons. Surgical possibilities include regional, distant and local flaps. In this study, five patients presented with tissue loss of two adjacent fingers and were treated by double reverse-flow island flaps. Materials and methods. The surgical technique is an application of the reverse-flow homodigital island flap for two adjacent finger tissue defects. Instead of one flap, double island flaps are applied to two adjacent finger tissue defects. The flaps are raised from the lateral or medial palmar surface of the proximal phalanx level. Anastomoses between the radial and ulnar digital arteries at the distal interphalangeal joint level are preserved. Results. Three of the patients had tissue defects at the fingertip. In these cases, digital nerve anastomosis with the counter lateral digital nerve made the flaps sensitive. In two patients, the tissue defect was on the dorsum of the middle phalanx level. In these cases, the flaps were non-sensitive. Nneither infection nor flap failure was seen in the patients. Sensitive function was satisfactory in fingertip applications. Conclusion. The reverse-flow homodigital island flap is a commonly used surgical technique for tissue defects in the fingers. The double reverse-flow island flaps involve the application of this technique for two adjacent fingers. The important point in the surgical technique is that the vascular supply of the two flaps should originate from the same common palmar digital artery. This technique offers a possibility to repair the defects of two adjacent fingers.
Databáze: OpenAIRE
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