Fingertip Reconstruction Using Two Variations of Direct-Flow Homodigital Neurovascular Island Flaps

Borman, Hüseyin; Maral, Tuğrul; Tancer, Mehmet

doi:10.1097/00000637-200045010-00005

Cited by 26 publications

(39 citation statements)

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“…In the current series, approximately 10 to 20 of flexion of the affected finger position was maintained using a dressing and bandage to prevent excessive tension of the vascular bundle. 17 Nevertheless, we found no significant correlation between PIP joint extension loss and flap advancement distance. This result indicates that the distance of flap advancement was not a risk factor for postoperative PIP joint contracture when this distance was less than 15 mm.…”

Section: Discussioncontrasting

confidence: 56%

Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap

Nakanishi¹,

Omokawa

Iida

et al. 2015

The Journal of Hand Surgery

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Section: Discussioncontrasting

confidence: 56%

Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap

Nakanishi¹,

Omokawa

Iida

et al. 2015

The Journal of Hand Surgery

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“…Use of various local, regional, free microvascular flap from a nonreplantable digit, and reverse flaps can also achieve less than ideal results owing to differences in color, thickness, and texture of flaps at the expense of donor site morbidity, even if the procedure is successful. 5,9,22,25 However, if the vascular vessels in the amputated fingertip or other parts of the finger, which is so-called amputated composite tissue, are suitable for microsurgical anastomosis, replantation of these amputated composite tissues would give the patients the best chance to get a cosmetic and functional restoration of the injured fingers.…”

Section: Discussionmentioning

confidence: 99%

“…Most of the repairs are concerned with the different techniques of flap transfers. [5][6][7][8][9][10][11] However, if the vascular vessels in the detached tissues of finger are suitable for anastomosis, replantation of these composite tissues would achieve better results than any kind of reconstructive procedure. 12 In this article, our experience with microsurgical replantation of 24 amputated finger composite tissues in 21 patients is presented.…”

mentioning

confidence: 99%

Replantation of amputated finger composite tissues with microvascular anastomosis

et al. 2008

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Replantation of the partial amputated finger or the composite tissue in finger would achieve better functional and esthetic results than any reconstructive procedure. In this article, we report the results of microsurgical partial finger or composite tissue replantation at different anatomic sites of 24 fingers in 21 patients. Microvascular anastomosis was performed in all cases of replantation. For the digital palmar and lateral composite tissue defects, the proper palmar digital artery and volar or dorsal subcutaneous veins were repaired by end-to-end anastomoses. For the digital dorsal defects, the blood supply was reestablished by arterialization of a dorsal central vein in the replanted part with one of the proper palmar digital arteries. The average follow-up period was 12.3 months. Twenty-two of 24 fingers survived completely with good functional and esthetic results. Two replantations failed because of vascular complications. In conclusion, if the vascular vessels in amputations of partial finger and composite tissue of finger are suitable for anastomosis, a successful replantation of these parts with excellent functional and esthetic recovery can be achieved.

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“…Thus, it is not a true direct-flow homodigital neurovascular island flap such as the triangular advancement or the step advancement flaps. 23,24 However, the hatchet flap has certain advantages that deserve some attention.…”

Section: Discussionmentioning

confidence: 99%

The Hatchet Flap for Reconstruction of Fingertip Amputations

Tuncali

Barutcu

Gökrem

et al. 2006

Plastic and Reconstructive Surgery

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Background: Emmett has described a single triangular flap that contains a partial skin bridge on one of its sides and called it the hatchet flap. It was successfully used for defects located on various body parts. The aim of this study was to present the authors' experience and results obtained with this flap in fingertip amputations. Methods: Nine patients who have completed their 1-year follow-up period were included in the study. Two-point discrimination and stiffness were tested, and the patients were queried about the existence of cold intolerance, hypersensitivity, numbness, and pain in the early (3 months) and late (1 year) postoperative periods. Results: The amputations were located on the thumb in three patients, index finger in one patient, middle finger in three patients, and ring finger in two patients. The average defect size was 2.1 ϫ 1.5 cm. Partial wound dehiscence was observed in one patient. The flap has provided good protective padding and aesthetic contour for the fingers. All incisions healed with inconspicuous scars. Average two-point discrimination was 6.3 mm (range, 4 to 8 mm). Cold intolerance was observed in two (22.2 percent) and paresthesia in one patient (11.1 percent). Joint stiffness was not noted. Most patients could return to their normal routine in approximately 4 to 5 weeks. Conclusions:The hatchet flap is a good alternative for transverse and lateral oblique fingertip amputations and valuable for volar oblique amputations (defects Ͻ2 cm) with more extensive flap designs. The technique is simple and safe and provides good protective padding and acceptable tactile gnosis. (Plast.

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Fingertip Reconstruction Using Two Variations of Direct-Flow Homodigital Neurovascular Island Flaps

Cited by 26 publications

References 0 publications

Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap

Predictors of Proximal Interphalangeal Joint Flexion Contracture After Homodigital Island Flap

Replantation of amputated finger composite tissues with microvascular anastomosis

The Hatchet Flap for Reconstruction of Fingertip Amputations

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