Local Flap Repair of Fingertip Injuries

Hueston, John T.

doi:10.1097/00006534-196604000-00011

Cited by 99 publications

(25 citation statements)

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“…Distant pedicle flaps impose a long immobilization, several operative stages and a poor morphological outcome. Free flaps are complex and time consuming procedures requiring a well experienced team [8,9,10,11].…”

Section: Discussionmentioning

confidence: 99%

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Bocchi¹,

Quarta²,

Castri³

et al. 2015

Open Orthopaedics J

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Section: Discussionmentioning

confidence: 99%

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Bocchi¹,

Quarta²,

Castri³

et al. 2015

Open Orthopaedics J

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“…However, there is a consensus that replantation is the best choice by maintaining the length of the finger and the normal anatomy of the nail complex, if only the amputated fragment is available, in replantable condition and well preserved [34,42]. If replantation is not possible, reconstruction ladder could be used for fingertip injuries: secondary healing, primary closure, skin grafting, homodigital flaps (V-Y advancement [4], V-Y cup [41], dorsal visor [20], Kutler [25], Moberg [35], hatchet [4], Hueston [10], linguiform rotation [12], dorsal adipofascial flaps [26,28,40], cross-finger flap [20,25], island flaps (homodigital [5,7,13,29,38], heterodigital [30] and metacarpal [19]) (antegrade and retrograde [38]), digital artery perforator flaps [23], distant flaps (thenar flap [10], groin and abdominal), free flap (free toe pulp [9,22,31], venous [33,39] and medial plantar perforator [17,42]). …”

Section: Discussionmentioning

confidence: 99%

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Sungur¹,

Kankaya²,

Yıldız

et al. 2012

Hand (New York, N,Y.)

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Background Fingertip amputation is the most common type of injury in the upper limb. Goals in fingertip amputation reconstruction are covering the defect, establishing maximum tactile gnosis, keeping the length of the finger, protecting the joint function, acquiring a well-padded pulp tissue, providing a bed for growing nail, obtaining a satisfactory cosmetic appearance and allowing the patient to return to work as soon as possible. Adjacent skin and soft tissue are the best covers for fingertip injuries. However, local homodigital flaps lack enough tissue to cover the defect. To solve this problem, we used V-Y rotation advancement flap bilaterally in fingertip amputations which meets all the reconstruction goals. Rotation besides advancement makes this flap more mobile and easier to cover larger defects in all amputation planes. Methods Between 2007 and 2009, we performed bilateral V-Y rotation advancement flap on seven male patients' pulpa (average age, 37.6 years) whose fingertips were not replantable.Results Fourteen flaps were made on 7 fingers. There was neither total nor partial flap loss. Patients had neither cold intolerance nor scar hypersensitivity. Stiffness of the PIP joint did not occur. No obvious hooked nail occurred in patients who have remaining nail matrix. Because flaps contain neurovascular bundle, there was no difference in sensation and perfusion between the finger's pre-operative and post-operative status. The result was satisfactory with painless pinching. Conclusion In addition to the various and versatile fingertip reconstruction methods, we want to present V-Y rotation advancement flap as a quick, reliable and aesthetic method.

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“…33 In 1994, we described a modification of this flap in which a V-Y tail was added to the flap to close the defect at the base of the finger without a skin graft. 34 This technique of advancing the palmar skin and soft tissues of the proximal phalangeal segment up the finger with a V-Y tail can also be used to close round, or almost round, 0.5 -0.75cm.…”

Section: Reconstruction Of the Palmar Surfacementioning

confidence: 99%

Homodigital Reconstruction of the Digits - The Perspective of One Unit

Elliot

Yii²

2001

Handchir Mikrochir plast Chir

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Over a period of twelve years, a strategy of reconstruction of digital injuries has been evolved in our unit which now allows us to reconstruct most defects of the digits with more predictable and, hopefully, better results than in the 1980s. This policy includes much of the philosophy and techniques of earlier and contemporary surgeons, with local modifications which we believe are improvements of the earlier techniques and a few new procedures. Wherever possible, the extraordinary capacity of the digital skin to regenerate has been exploited and homodigital techniques of reconstruction are used to limit the total injury of the trauma and reconstruction to the damaged digit. The techniques which we currently use are summarised in this article.

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Local Flap Repair of Fingertip Injuries

Cited by 99 publications

References 0 publications

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Reverse Perforator Flaps in the Reconstruction of the Hand. Our Clinical Experience

Bilateral V–Y Rotation Advancement Flap for Fingertip Amputations

Homodigital Reconstruction of the Digits - The Perspective of One Unit

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