The Spiral Flap for Fingertip Resurfacing: Short-Term and Long-Term Results

Lim, Grace Rui Si; Yam, Andrew; Lee, Jonathan Y.L.; Teoh, Lam-Chuan

doi:10.1016/j.jhsa.2007.12.005

Cited by 26 publications

(16 citation statements)

References 32 publications

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“…In this study, after surgery only the round scars on pulp and linear scars on finger tips are left, with no sideward scar in fingers which may influence the flexion and extension of fingers. 15 The active and passive activity of injured fingers are not significantly different with the uninjured ones. (3) Good blood supply in injured fingers and satisfactory recovered sensation.…”

Section: Discussionmentioning

confidence: 96%

Outcome of free digital artery perforator flap transfer for reconstruction of fingertip defects

Zhu

Kou³

et al. 2014

IJOO

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Background:Fingertip defect can be treated with many flaps such as random pattern abdominal flap, retrograde digital artery island flap, V-Y advancement flap, etc. However, swelling in the fingertip, dysfunction of sensation, flexion and extension contracture or injury in the hemi-artery of the finger usually occurs during the recovery phase. Recently, digital artery perforator flaps have been used for fingertip reconstructions. With the development of super microsurgery techniques, free flaps can be more effective for sensory recovery and durability of the fingertip.Materials and Methods:Six cases (six fingers) of fingertip defects were treated with free digital artery perforator flaps of appropriate size and shape from the proximal phalanx. During surgery, the superficial veins at the edge of flap were used as reflux vessels and the branches of the intrinsic nerve and dorsal digital nerve toward the flap were used as sensory nerves. The proximal segment of the digital artery (cutaneous branches) towards the flap was cut off to form the pedicled free flap. The fingertips were reconstructed with the free flap by anastomosing the cutaneous branches of digital artery in the flap with the distal branch or trunk of the digital artery, the flap nerve with the nerve stump and the veins of the flap with the digital artery accompanying veins or the superficial veins in the recipient site.Results:Six flaps survived with successful skin grafting. Patients were followed up for 6-9 months. The appearance and texture of the flaps was satisfactory. The feeling within the six fingers recovered to S4 level (BMRC scale) and the two point discrimination was 3-8 mm.Conclusion:Free digital artery perforator flap is suitable for repairing fingertip defect, with good texture, fine fingertip sensation and without sacrificing the branch of the digital artery or nerve.

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Section: Discussionmentioning

confidence: 96%

Outcome of free digital artery perforator flap transfer for reconstruction of fingertip defects

Zhu

Kou³

et al. 2014

IJOO

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“…132–136 Most recently, flaps have arisen such as the spiral flap, which resembles the Orticochea scalp flaps based on the unique axial blood supply of the hand. 137 The Gi-gone flap harnesses an island pedicle-based axial supply in a double V-Y advancement reminiscent of Atasoy's concept. 138 Boomerang flaps combine the concepts of reversed flow and perforator flaps.…”

Section: To the 2010smentioning

confidence: 99%

An Evolutionary Perspective on the History of Flap Reconstruction in the Upper Extremity

Fang¹,

Chung²

2014

Hand Clinics

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“…Lim and colleagues described a spiral flap for digital tip defects. 1 The flap is designed in a spiral shape, which is then extended to the fingertip in much the same way one would extend a spring with traction. The resultant proximal donor defect is covered with a skin graft.…”

Section: Finger Reconstructionmentioning

confidence: 99%