Flap Selection Approach for Hand Soft Tissue Defects Reconstruction: Surgical Techniques and Outcome Evaluation

Gad, G. S.; Saied, Samia; Mohamed, Mohamed Abdelshafy; Hifny, Mahmoud A.

doi:10.21608/svuijm.2021.49987.1045

Cited by 1 publication

(2 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The commonly used V-Y advancement flap, crossfinger flap, fascial island flap, and abdominal flap have their own advantages, disadvantages, and indications ( 19 ). V-Y advancement flap, cross-finger flap, and fascial island flap are effective in repairing small soft tissue defects in the fingers; however, it cannot achieve a good treatment effect for a large area of degloving injury ( 20 ).…”

Section: Discussionmentioning

confidence: 99%

“…Although abdominal flaps can repair large areas of skin defects, their appearance is edematous, and the skin texture is very different from finger skin. In most cases, the sensation cannot be reconstructed, and a second operation is often required to repair the flap in the later period ( 19 ). However, local cutaneous flap provides better color, texture, minimal tissue contraction, and a higher survival rate, and is appropriate in case of tendon or bone exposure ( 21 ).…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The Clinical Effect of Digital Dorsal Fascial Island Flap Combined With Crossfinger Flap for Repairing Distal Degloving Injury and Sensory Reconstruction

et al. 2022

View full text Add to dashboard Cite

BackgroundTo explore the clinical effect of digital dorsal fascial island flap combined with crossfinger flap to repair distal degloving injury and sensory reconstruction.MethodsA total of 19 patients with distal fingertip degloving injuries treated with digital dorsal fascial island flap combined with crossfinger flap in our hospital from April 2018 to August 2020 were retrospectively included. Semmes–Weinstein (SW) monofilament and static two-point discrimination (S-2PD) tests, active range-of-motion (ROM) of the fingers, cold intolerance, visual analog scale (VAS) score patient complications, and patient satisfaction were evaluated.ResultsFive cases with post-operative flap blisters were treated at the time of dressing changes until successful scab formation. Three cases with post-operative arterial crisis of finger arterial dorsal branch vessel were relieved after suture removal and tension reduction. All other skin flaps and skin grafts survived. Nineteen patients received follow-up between 3 and 26 months (average 14.6 months). The active ROM of metacarpophalangeal (MCP) and interphalangeal (IP) joints of the injured fingers were satisfactory.ConclusionThe digital dorsal fascial island flap combined with the crossfinger flap for repairing the distal degloving injury of the distal segment of the finger is a good surgical method, which is simple and easy to operate, can repair a large area of soft tissue defect, and obtain a satisfactory effect.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%