Reverse Digital Island Flap with Skin Strip Retention to Prevent Flap Congestion.
10.12790/jkssh.2016.21.2.70
- Author:
Jin Yong SHIN
1
;
Mun Young AN
;
Si Gyun ROH
;
Nae Ho LEE
;
Kyung Moo YANG
Author Information
1. Department of Plastic and Reconstructive Surgery, Chonbuk National University Hospital, Jeonju, Korea. psjyshin@gmail.com
- Publication Type:Original Article
- Keywords:
Fingertip injury;
Reverse digital island flap;
Prevention of congestion
- MeSH:
Arteries;
Contracture;
Estrogens, Conjugated (USP)*;
Finger Injuries;
Follow-Up Studies;
Humans;
Hyperemia;
Joints;
Metacarpophalangeal Joint;
Necrosis;
Skin*;
Tissue Donors
- From:Journal of the Korean Society for Surgery of the Hand
2016;21(2):70-76
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The reverse digital island flap is useful for the repair of various fingertip injuries. We present a modified surgical technique with skin strip elevation for the prevention of postoperative congestion. METHODS: From January 2005 to October 2015, we performed 31 reconstructive procedures for finger injury using a reverse digital artery island flap with and without skin strip retention. Patients' clinical characteristics, surgical outcomes, and complications were investigated. RESULTS: All flaps survived and there were no donor site problems. The mean follow-up time was 5 months (range, 3-8 months). In skin strip retention group, mild venous congestion was observed in 1 case, although it resolved spontaneously. Another case retained flexion contracture, and 2 patients had stiffness at the distal interphalangeal joint. Whereas, in no retention group, venous congestion was observed in 3 cases, 1 patient had partial flap necrosis and 2 patient suffer in flexion contracture at metacarpophalangeal joint. CONCLUSION: The reverse digital island flap procedure produces consistent results and is reliable for the treatment of fingertip injury. Our modified surgical technique of elevating the flap accompanied by skin strip retention helps prevent postoperative congestion.
