Use of the Microvascular Finger Fillet Flap

Libermanis, Olafs; Krauklis, Gundars; Kapickis, Martins; Krustins, Janis; Tihonovs, Aivars

doi:10.1055/s-2007-1000140

Cited by 16 publications

(6 citation statements)

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“…6,7,15,38,48,49,52,54,55,[62][63][64][65] It has to be pointed out that the frequency of such cases is relatively low, and thus reports with a large set of patients have been rather unusual.…”

Section: Discussionmentioning

confidence: 99%

Heterotopic Procedures in Mutilating Hand Injuries

Kokkoli

Spyropoulou

Shih

et al. 2015

Plastic and Reconstructive Surgery

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Section: Discussionmentioning

confidence: 99%

Heterotopic Procedures in Mutilating Hand Injuries

Kokkoli

Spyropoulou

Shih

et al. 2015

Plastic and Reconstructive Surgery

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“…[1][2][3][14][15][16][17] In multidigital injuries, microvascular finger fillet flaps were used to cover the defect of soft tissue or to reconstruct other digits by microvascular digit transposition, and good functional results were achieved. [18][19][20] The fingertip amputation is one of the most common injuries in hand. Although multiple treatment options have been described for reconstruction of the fingertip injury, 6,7,9,[21][22][23][24] the results were inconsistent.…”

Section: Discussionmentioning

confidence: 99%

Replantation of amputated finger composite tissues with microvascular anastomosis

et al. 2008

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Replantation of the partial amputated finger or the composite tissue in finger would achieve better functional and esthetic results than any reconstructive procedure. In this article, we report the results of microsurgical partial finger or composite tissue replantation at different anatomic sites of 24 fingers in 21 patients. Microvascular anastomosis was performed in all cases of replantation. For the digital palmar and lateral composite tissue defects, the proper palmar digital artery and volar or dorsal subcutaneous veins were repaired by end-to-end anastomoses. For the digital dorsal defects, the blood supply was reestablished by arterialization of a dorsal central vein in the replanted part with one of the proper palmar digital arteries. The average follow-up period was 12.3 months. Twenty-two of 24 fingers survived completely with good functional and esthetic results. Two replantations failed because of vascular complications. In conclusion, if the vascular vessels in amputations of partial finger and composite tissue of finger are suitable for anastomosis, a successful replantation of these parts with excellent functional and esthetic recovery can be achieved.

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“…They can be used as pedicled or free flaps. [2][3][4][5][6][7][8] Although frequently raised from traumatized or nonsalvagable body parts, fillet flaps can also be harvested from anatomically intact parts in certain clinical situations, in which fillet flaps represent an alternative solution to more complex procedures or are considered after failure of previous reconstructive options. 2 On these occasions, a thorough costbenefit analysis of the planned procedure and the remaining options must precede surgery and must be discussed with the patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 The well-known 'spare-part concept,' using tissues from amputated or otherwise discarded body parts to replace the important functional structures, has recently gained popularity and, become a recognized technique of trauma reconstruction. [2][3][4][5][6][7][8] Useless fingers can be split longitudinally, freed from skeletal attachments, and raised as finger fillets. Such flaps have been used commonly for release of web contractures.…”

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A New Finger Fillet Design From an Index Finger With Severe Postburn Flexion Deformity

Nişancı

Eski

Işık

2008

Journal of Burn Care & Research

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Treatment of postburn deformities of the hand is a real challenge to reconstructive surgeons. A functional reconstruction was achieved with two sensate island flaps on two discrete pedicles in a case with severe postburn deformity involving both thumb and index finger. Surgical treatment was based on amputation of the second ray and reconstruction of the thumb with the flaps derived from the discarded index finger. Two sensate island flaps on two discrete pedicles, "1st dorsal metacarpal artery based flap" from the dorsal aspect of the proximal phalanx and "palmar digital artery based fillet flap" composed of available volar skin of the index finger distal to contracture, were harvested and used for replacement of the soft tissue defect of the thumb that appeared after correction of bone and joint deformities. Both of the flaps survived and functional improvement was satisfactory at one-year follow-up. Despite the shortening of neurovascular bundles due to severe flexion deformity, a sensate thumb reconstruction with a better tissue match was achieved thanks to more beneficial design and orientation of two neorovascular island flaps from a deformed index finger. Instead of a single fillet flap design in its common use, our current approach allowed more beneficial use of a discarded index finger in severe postburn deformity involving both thumb and index finger.

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Use of the Microvascular Finger Fillet Flap

Abstract: This paper reports the authors' experience with the use of microvascular flaps, elevated from severely injured fingers to cover soft-tissue defects of other digits. Two clinical cases are presented and pertinent literature is reviewed.

Cited by 16 publications

References 0 publications

Heterotopic Procedures in Mutilating Hand Injuries

Heterotopic Procedures in Mutilating Hand Injuries

Replantation of amputated finger composite tissues with microvascular anastomosis

A New Finger Fillet Design From an Index Finger With Severe Postburn Flexion Deformity

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