Reverse dorsal digital and intercommissural flaps used for digital reconstruction

Treatment of Thumb Tip Degloving Injury Using the Modified First Dorsal Metacarpal Artery Flap

“…Keramidas et al 28 used a sensory dorsal is- land flap, including one DBPDN in 21 digits, which resulted in an average static 2PD of 13 mm in the flaps. Pan et al 29 and Zhao et al 30 used the sensory flap from the homodigital dorsum of the digit, with one neurorrhaphy between the DBPDN and PDN.…”

Repair of Dorsal Defects Over the Middle Phalanx and Proximal Interphalangeal Joint With a Transposition Flap From the Dorsum of the Proximal Phalanx

“…The drawback of the technique is the long scar from near the wrist to the middle phalanx. 14,15 The reverse digital artery flap harvested from the proximal phalanx has the drawback of the loss of 1 of the PDAs. 6,7…”

Coverage of Fingertip Defect Using a Dorsal Island Pedicle Flap Including Both Dorsal Digital Nerves

“…Pan et al 25 used a dorsal island pedicle flap including a single dorsal digital nerve in 7 digits resulting in 6 to 9 mm of static 2-point discrimination in the flaps. Coverage of a fingertip defect with the dorsal island pedicle flap was also reported by Keramidas et al 26 and Zhao et al 27 In these cases, only 1 dorsal digital nerve was coapted to 1 of the proper digital nerves, which resulted in 13 and 8 mm of static 2-point discrimination in the fingertips, respectively. At the finger pulp, normal fingertip SemmesWeinstein values range from 1.65 to 2.83 g. 28 The mean Semmes-Weinstein monofilament test scores in our cases are greater than that of either the contralateral side or normal range.…”