The Combination of Moberg Flap with V-Y Advancement and Reverse Adipofascial Cross Finger Flap for Coverage of Degloving Injury of the Thumb-Case Report

Emil, Medhat; Habib, Dalia; Ameri, Omar Al; Mansoori, Dalal Al

doi:10.4236/mps.2020.103007

Cited by 1 publication

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“…The crossfinger flap anastomosed with dorsal digital nerve can make the finger more sensitive and restore the sensory function earlier ( 12 ). We combined the two flaps to repair the soft tissue defect degloving injury of the distal segment of the finger, which can repair the wound defect at one time and preserve the function of the finger to the greatest extent ( 22 , 23 ), while reducing the damage to the donor site and recovering the function of the affected finger as soon as possible. This method can change the large damage into several small damage areas, and change the large defect area into two small defects from the three-dimensional point of view.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2022

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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.

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Section: Discussionmentioning

confidence: 99%