Digital artery perforator flaps: an easy and reliable choice for fingertip amputation reconstruction

被引:12
作者
Basat, Salih Onur [1 ]
Ugurlu, Alper Mete [2 ]
Aydin, Atakan [2 ]
Aksan, Tolga [1 ]
机构
[1] Okmeydani Training & Res Hosp, Dept Plast Reconstruct & Aesthet Surg, Istanbul, Turkey
[2] Istanbul Univ, Istanbul Fac Med, Dept Plast Reconstruct & Aesthet Surg, Istanbul, Turkey
关键词
Digital artery perforator flap; fingertip; reconstruction; ISLAND FLAPS; THENAR FLAP; TIP;
D O I
10.3944/AOTT.2013.2886
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
Objective: The aim of this study was to evaluate the use and efficacy of digital artery perforator (DAP) flaps in fingertip reconstruction. Methods: From 2007 to 2011, 7 fingers of 5 patients (4 male, 1 female) underwent fingertip reconstruction with extended DAP flaps following traumatic fingertip amputation. Average flap size was 4.25 cm(2). Results: All flaps survived except one case in which partial skin necrosis was observed and treated with wet-dressing. Donor sites were closed with full-thickness skin grafting in 5 and primarily in 2 fingers. We did not observe hypersensitivity or cold intolerance in repaired fingers. Conclusion: The DAP flap is a reliable, free-style perforator flap that can be used for all types of fingertip injuries.
引用
收藏
页码:250 / 254
页数:5
相关论文
共 17 条
[1]  
ATASOY E, 1970, J BONE JOINT SURG AM, VA 52, P921, DOI 10.2106/00004623-197052050-00006
[2]   Composite Grafting for Traumatic Fingertip Amputation in Adults: Technique Reinforcement and Experience in 31 Digits [J].
Chen, Shih-Yi ;
Wang, Chih-Hsin ;
Fu, Ju-Peng ;
Chang, Shun-Cheng ;
Chen, Shyi-Gen .
JOURNAL OF TRAUMA-INJURY INFECTION AND CRITICAL CARE, 2011, 70 (01) :148-153
[3]   STEP-ADVANCEMENT ISLAND FLAP FOR FINGERTIP RECONSTRUCTION [J].
EVANS, DM ;
MARTIN, DL .
BRITISH JOURNAL OF PLASTIC SURGERY, 1988, 41 (02) :105-111
[4]   The results of reverse-flow island flaps in pulp reconstruction [J].
Kayalar, Murat ;
Bal, Emin ;
Toros, Tulgar ;
Ozaksar, Kemal ;
Sugun, S. Tahir ;
Ademoglu, Yalcin .
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 2011, 45 (05) :304-311
[5]   The outcome of direct-flow neurovascular island flaps in pulp defects [J].
Kayalar, Murat ;
Bal, Emin ;
Toros, Tulgar ;
Sugun, S. Tahir ;
Ozaksar, Kemal ;
Gurbuz, Yusuf .
ACTA ORTHOPAEDICA ET TRAUMATOLOGICA TURCICA, 2011, 45 (03) :175-184
[6]   Fingertip reconstructions using partial-toe transfers [J].
Koshima, I ;
Inagawa, K ;
Urushibara, K ;
Okumoto, K ;
Moriguchi, T .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2000, 105 (05) :1666-1674
[7]   Digital artery perforator flaps for fingertip reconstructions [J].
Koshima, Isao ;
Urushibara, Katsuyuki ;
Fukuda, Norio ;
Ohkochi, Masayuki ;
Nagase, Takashi ;
Gonda, Koichi ;
Asato, Hirotaka ;
Yoshimura, Kotaro .
PLASTIC AND RECONSTRUCTIVE SURGERY, 2006, 118 (07) :1579-1584
[8]   THE REVERSE DIGITAL ARTERY FLAP FOR FINGERTIP RECONSTRUCTION [J].
LAI, CS ;
LIN, SD ;
YANG, CC .
ANNALS OF PLASTIC SURGERY, 1989, 22 (06) :495-500
[9]   THE THENAR FLAP - AN ANALYSIS OF ITS USE IN 150 CASES [J].
MELONE, CP ;
BEASLEY, RW ;
CARSTENS, JH .
JOURNAL OF HAND SURGERY-AMERICAN VOLUME, 1982, 7 (03) :291-297
[10]   SINGLE FINGER TIP INJURIES TREATED BY THENAR FLAP [J].
MILLER, AJ .
HAND, 1974, 6 (03) :311-314