Volume 11, Issue 3 (2022)
WJPS 2022, 11(3): 47-54 |
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Veena Prabhakar Waiker 
1, Shantha Kumar Shivalingappa1 , Kumaraswamy Mohan1 , Manjunath Kamlapurmat Nagabhushanaiah1
1, Shantha Kumar Shivalingappa1 , Kumaraswamy Mohan1 , Manjunath Kamlapurmat Nagabhushanaiah1
1- Department of plastic surgery, Ramaiah Medical College, Bangalore, India.
Abstract: (962 Views)
Background: Fingertip injuries are common in plastic surgery practice, with multiple options for the treatment. Dorsal flag flap has been one of the options for the treatment and it has been explained as a proximally based flap. We have tried to understand the reliability of the distally based dorsal flag flap for the finger defects.
Methods: This work was a retrospective study of consecutive patients with fingertip injuries who had undergone the distally based dorsal flag flap for reconstruction.
Results: Among 19 patients who underwent reconstruction with the flag flap, 16 hetero-digital flap reconstructions, while 4 homo-digital flap reconstructions were done. We lost one flap, which was used for the same fingertip reconstruction. We had four patients with fingertip ulceration on the flap by 2 months which healed by regular dressings.
Conclusion: Distally based dorsal flag flap robust flap, which has a narrow base thus, improves maneuverability and helps in bringing the fingers to a comfortable position
Methods: This work was a retrospective study of consecutive patients with fingertip injuries who had undergone the distally based dorsal flag flap for reconstruction.
Results: Among 19 patients who underwent reconstruction with the flag flap, 16 hetero-digital flap reconstructions, while 4 homo-digital flap reconstructions were done. We lost one flap, which was used for the same fingertip reconstruction. We had four patients with fingertip ulceration on the flap by 2 months which healed by regular dressings.
Conclusion: Distally based dorsal flag flap robust flap, which has a narrow base thus, improves maneuverability and helps in bringing the fingers to a comfortable position
References
1. Rehim SA, Chung KC. Local flaps of the hand. Hand Clin. 2014;30(2):137-v. doi:10.1016/j.hcl.2013.12.004. [DOI:10.1016/j.hcl.2013.12.004]
2. Karthikeyan G, Renganathan G, Subashini R. Versatility and Modifications of the Cross-finger Flap in Hand Reconstruction. Int J Sci Stud 2017;5(6):35-46.
3. Jiao H, Ding X, Liu Y, Zhang H, Cao X. Clinical experience of multiple flaps for the reconstruction of dorsal digital defects. Int J Clin Exp Med 2015;8(10):18058-18065.
4. Cronin TD. The cross finger flap: a new method of repair. Am Surg 1951;17(5):419-25.
5. Gurdin M, Pangman Wj. The repair of surface defects of fingers by trans-digital flaps. Plast Reconstr Surg 1950;5(4):368-71. [DOI:10.1097/00006534-195004000-00011]
6. doi: 10.1097/00006534-195004000-00011. [DOI:10.1097/00006534-195004000-00011]
7. Patil RK, Chavre S. Distally based cross-finger flaps for amputation stumps in avulsion amputations. Indian J Plast Surg 2012;45(3):504-511. doi:10.4103/0970-0358.105961 [DOI:10.4103/0970-0358.105961]
8. Thatte RL. Deepithelialised turnover flaps. Plast Reconstr Surg 1989;84:172-10. [DOI:10.1097/00006534-198907000-00045]
9. Kumaraswamy mohan kumar, Smitha Segu. Cross finger adipofascial flap- is it a aesthetically better variant? J Clin Diagn Res 2013;7(11): 2527-2529. [DOI:10.7860/JCDR/2013/5708.3600]
10. Lee LP, Lau PY, Chan CW. A simple and efficient treatment for fingertip injuries. J Hand Surg Br 1995 ;20(1):63-71.doi: 10.1016/s0266-7681(05)80019-1. [DOI:10.1016/S0266-7681(05)80019-1]
11. Ratnakar Sharma, Akashdeep Singh, Ravinder Singh. Management of fingertip injuries. JK Sci 2015;17(3):127-130.
12. Elliot D. Homodigital reconstruction of the digits: the perspective of one unit. Indian J Plast Surg 2003;36(2):106-119.
13. F Islein, G Prdet. Flag skin flap to the finger. Upper extremites. In:Berish Strauch, Luis o Vasconez, Elizabeth J Hall-Findlay. Grabb's encyclopedia of flaps. 2nd ed. Philadelphia, New York: Lippincott-Raven; 1998. pp 860-863.
14. Mohieb Mustak, Aravind L Rao. Review of cross finger flaps- indications and modifications. IJSR 2017;6(3): 2299-2303.
15. Keramidas E, Rodopoulou S, Metaxotos N, Panagiotou P, Iconomou T, Ioannovich J. Reverse dorsal digital and intercommissural flaps used for digital reconstruction. Br J Plast Surg 2004 ;57(1):61-5. doi: 10.1016/j.bjps.2003.10.010. [DOI:10.1016/j.bjps.2003.10.010]
16. Narayanamurthy Sundaramurthy, Surya Rao Rao Venkata Mahipathy, Alagar Raja Durairaj. Why borrow from Peter when Paul can afford it? Reverse homodigital artery flap for fingertip reconstruction. Indian J Plast Surg 2017;50(2):187-192. [DOI:10.4103/ijps.IJPS_98_17]
17. Santos TPSD, Oliveira MT, Angelini LC. Retrospective study to evaluate the treatment of digital pulp lesions using a homodigital flap. Rev Bras Ortop 2018 ;53(2):200-207. doi: 10.1016/j.rboe.2017.01.011. [DOI:10.1016/j.rboe.2017.01.011]
18. GanchiPA, Lee WP. Fingertip reconstruction in hand and upper extremity. In: Mathes SJ, Hentz VR, Plastic Surgery. 2nd ed. Vol. 7. Philadelphia: Saunders (Elsevier); 2006; pp.154-70.
19. Paterson P, Titley OG, Nancarrow JD. Donor finger morbidity in cross-finger flaps. Injury 2000 ;31(4):215-8. doi: 10.1016/s0020-1383(99)00205-3. [DOI:10.1016/S0020-1383(99)00205-3]
20. F Rabarin, Y Saint Cast, J Jeudy, PA Fouque, B cesari, N Bigorre, A Petit, G Raimbeau. Cross finger flap for reconstruction of finger tip amputations:long term results. Ortho & Traumatology: Surgery & research 2016;102S:225-228. [DOI:10.1016/j.otsr.2016.03.006]
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