Pedicled flap from the first dorsal branch of the proper palmar digital artery of the fingers: An anatomy study

Wolf-Mandroux, A.; Detammæcker, Romain; Almeida, Y.-K. De; Krebs, M.; Dautel, G.; Athlani, Lionel

doi:10.1016/j.hansur.2020.03.008

Cited by 2 publications

(2 citation statements)

References 25 publications

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“…From 33 studies as shown in Table 1, 20 studies are purely anatomical studies (A), [8][9][10][11][12][13][14][15][16][17][18][19][20][21][22][23][24][25][26][27] 10 studies are mixed anatomical and clinical studies (B), [28][29][30][31][32][33][34][35][36][37] and three studies are imaging-based clinical studies (C). [38][39][40] Most anatomical studies visualize the cutaneous perforators (CP) by dissection, but some used x-ray imaging and casting.…”

Section: Resultsmentioning

confidence: 99%

Cutaneous Perforators and Their Clinical Implications on Intrinsic Hand Flaps: A Systematic Review

Prasetyono

Menna²

2022

Plastic and Reconstructive Surgery - Global Open

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Background: Most hand flaps are local intrinsic flaps because hand perforators are small and fragile. The purpose of this review was to gather anatomical data on cutaneous perforators of the hand and their implications on intrinsic hand flaps. Methods: An electronic search was performed through PubMed, Scopus, ScienceDirect, ProQuest, and CINAHL in April 2021. The search terms included "hand," "palm," "manus," "cutaneous artery," "angiosome," and "perforasome." Studies were filtered according to the PRISMA flow chart, and critically appraised using the Quality Appraisal for Cadaveric Studies (QUAC) and Appraisal Tool for Cross-sectional Studies (AXIS). Results: A total of 33 studies were included, of which 20 were pure anatomical studies, 10 combined anatomical and clinical studies, and three imaging-based clinical studies. A total of 643 hands and 406 fingers were included. The dorsal aspect of the hand, the dorsal digits, hypothenar, midpalm, thenar, and dorsal wrist consistently have adequate, closely distributed perforators of small diameters and short pedicle lengths. A series of clinical studies proved the success of elevating local perforator flaps on each of these areas. Conclusions:The hand contained densely interlinked cutaneous perforators of varying sizes and pedicle lengths. Although some areas of the hand are still unexplored, knowledge on cutaneous perforators of the hand allows the creation of a variety of possibilities for intrinsic hand flap designs.

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Section: Resultsmentioning

confidence: 99%

Cutaneous Perforators and Their Clinical Implications on Intrinsic Hand Flaps: A Systematic Review

Prasetyono

Menna²

2022

Plastic and Reconstructive Surgery - Global Open

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“…There are many insufficiencies in the repair of finger pulp defects. [7][8] The digital artery flap is still the most popular flap, clinically, because of its safety and good postoperative effects. The flap in this study is located on the side of the finger.…”

Section: Introductionmentioning

confidence: 99%

Another new attempt to repair finger pulp defects: retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting

Zhu

Zhang

et al. 2022

J Int Med Res

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This study investigated the surgical method and therapeutic effect of retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting to repair finger pulp defects. From June 2008 to May 2020, 21 fingers (19 patients) were repaired using this method. The postoperative flap survival rate and complications, and the clinical effect, were evaluated. All flaps survived, and all patients were followed-up for 12 to 46 months. The static two-point discrimination (2PD) was 7 to 11 mm, no apparent complications were observed in the donor area and the McIndoe cold intolerance symptom severity (CISS) scores indicated mild severity. The Michigan hand outcome questionnaire (MHQ) indicated that all patients were satisfied with their overall hand appearance and function. Results were excellent in 15 cases and good in 4 cases, according to the Dargan function evaluation (DFE). It is safe and effective to repair finger pulp defects with a retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting. This skin flap has the advantages of simple severing, good texture and concealed donor area, which is convenient for early postoperative functional exercise of the finger.

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Pedicled flap from the first dorsal branch of the proper palmar digital artery of the fingers: An anatomy study

Cited by 2 publications

References 25 publications

Cutaneous Perforators and Their Clinical Implications on Intrinsic Hand Flaps: A Systematic Review

Cutaneous Perforators and Their Clinical Implications on Intrinsic Hand Flaps: A Systematic Review

Another new attempt to repair finger pulp defects: retrograde island flap bridge transfer of the adjacent phalangeal artery combined with vascular pedicle tubular skin grafting

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