Restoration of Thumb Sensibility with Innervated Reverse Homodigital Dorsoradial Flap

Abstract

Innervated reverse homodigital dorsoradial flap serves as a reliable and sensate flap for extensive thumb soft tissue reconstruction.

Reconstruction of Soft-Tissue Defects of the Thumb Using Reverse-Flow Homodigital Flaps: A Systematic Review

“…15 Its reconstructive sites include the pulp, radial, and dorsal aspect of the distal phalanx, unlike the dorsoulnar flap, which is used mostly for tip injuries, and it holds the possibility of neurorrhaphy of the dorsal collateral nerve to the recipient sites, albeit with no proven benefit. 28…”

Reverse Dorsoradial Flaps for Thumb Coverage Show Increased Sensory Recovery with Smaller Flap Sizes

“…[33][34][35] Some researchers reported constant observation in all cadaver dissections and clinical cases. 13,14,16 In our clinical practice, we never deliberately dissected the artery. Alternatively, we designed the flap and the route of pedicle based on the results of Doppler probe and dissected the pedicle as wide as possible.…”

Reconstruction of Digital Skin Defects with the Free Wrist Crease Flap

“…In addition, exposure of deep structures, such as joints, bones, or tendons, is an emergency situation that requires a reliable coverage technique. 8 Reviews have previously reported a variety of closure techniques for digital defects, such as V-Y advancement flaps, cross-finger flaps, neurovascular island flaps, and dorsal metacarpal artery flaps. 8,9 The V-Y advancement flap is suited for transverse plane or volar oblique injuries, and the obvious advantages for it are its simplicity and association with little trauma.…”

“…8 Reviews have previously reported a variety of closure techniques for digital defects, such as V-Y advancement flaps, cross-finger flaps, neurovascular island flaps, and dorsal metacarpal artery flaps. 8,9 The V-Y advancement flap is suited for transverse plane or volar oblique injuries, and the obvious advantages for it are its simplicity and association with little trauma. However, the distance this flap can be advanced to is limited, so it is not recommended when the length of skin loss exceeds 1.5 cm.…”