Application of the island flap at the dorsum of the middle phalange with the pedicel of the digital proper artery.
- Author:
Qi-Chao LI
1
;
Shuang-Xi ZHANG
;
Zhen-Xi CHEN
;
Guang-Ming ZHU
;
Hao-Jie CUI
;
Fang-Rui GU
;
Jun-Yue LU
Author Information
- Publication Type:Journal Article
- MeSH: Adolescent; Adult; Aged; Arteries; Female; Fingers; blood supply; surgery; Humans; Male; Middle Aged; Reconstructive Surgical Procedures; methods; Skin Transplantation; methods; Surgical Flaps; blood supply; Young Adult
- From: Chinese Journal of Plastic Surgery 2011;27(5):340-343
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo explore a method for the treatment of the skin defects at the distal phalanges of 2-5th fingers.
METHODSThe island flap at the dorsum of the middle phalange was designed with the pedicle of dorsal branches from the digital proper artery. When the flap was used to repair defect at finger pulp, the dorsal branch of the digital proper nerve in the flap was kept to be anastomosed to the digital proper nerve at the recipient finger. From Feb. 2005 to May. 2010, 54 cases with skin defects at the distal phalanges of 61 fingers were treated with the flap, including 35 defects at finger pulp and 26 defects at finger tip.
RESULTSThe maximum size of defects and flaps was 2.2 cm x 2.5 cm and 2.4 cm x 2.7 cm, respectively. 61 flaps survived completely. Blister was happened in 3 flaps 2 days after operation, which healed spontaneously without necrosis. 54 cases were followed up for 5 to 22 months (average, 11 months). The flaps had good texture and color match with normal sensation (grade S4). The 2-point discrimination distance was 6-9 mm. The interphalangeal joint had normal movement.
CONCLUSIONSThe island flap at the dorsum of the middle phalange is an ideal method for the skin defect at the distal phalange of finger.
