ISSN: 1859 - 2872
Initial results of using digital artery perforator flaps for the reconstruction of finger distal phalangeal defects
Main Article Content
Keywords
Abstract
Objective: To share initial experiences received after using digital artery perforator flaps to cover soft tissue defects at finger distal phalanges. Subject and method: Prospective, longitudinal study without a control group. 11 digital artery perforator flaps (6 innervated flaps and 5 non-innervated flaps) were used to cover the soft tissue defects at the finger distal phalanges from July 2019 to June 2023. Result: Primary results: The survival rate was 11/11, venous congestion rate was 4/11. Secondary results: 5 out of 11 flaps that were followed up more than 6 months had sensory recovery of S4, and 2 out of 11 flaps had hyperpigmentation complications. No cases had complications of hypersensitivity, cold intolerance, or scar contracture. Conclusion: Digital artery perforator flaps provide a safe, versatile option for the reconstruction of finger distal phalangeal defects.
Article Details
References
2. Oruç M, Ozer K, Çolak Ö, Kankaya Y, Koçer U (2016) Does crossover innervation really affect the clinical outcome? A comparison of outcome between unilateral and bilateral digital nerve repair. Neural Regen Res 11(9): 1499-1505.
3. Lemmon JA, Janis JE, Rohrich RJ (2008) Soft-tissue injuries of the fingertip: methods of evaluation and treatment. An algorithmic approach. Plast Reconstr Surg 122(3): 105-117.
4. Koshima I, Urushibara K, Fukuda N et al (2006) Digital artery perforator flaps for fingertip reconstructions. Plast Reconstr Surg 118(7): 1579-1584.
5. Shintani K, Takamatsu K, Uemura T et al (2016) Planning digital artery perforators using color Doppler ultrasonography: A preliminary report. J Plast Reconstr Aesthet Surg69(5): 634-639.
6. Mitsunaga N, Mihara M, Koshima I et al (2010) Digital artery perforator (DAP) flaps: Modifications for fingertip and finger stump reconstruction. J Plast Reconstr Aesthet Surg 63(8): 1312-1317.
7. Losco L, Torto F, Maruccia M, Taranto G, Ribuffo D, Cigna E (2018) Modified single pedicle reverse adipofascial flap for fingertip reconstruction. Microsurgery 39(3): 221-227.
8. Qin JZ, Wang PJ (2012) Fingertip reconstruction with a flap based on the dorsal branch of the digital artery at the middle phalanx. Annals of Plastic Surgery 69(5): 526-528.
9. Pelissier P, Casoli V, Bakhach J, Martin D, Baudet J (1999) Reverse dorsal digital and metacarpal flaps: A review of 27 cases. PRS 103(1): 159-165.
10. Takeishi M, Shinoda A, Sugiyama A, Ui K (2006) Innervated reverse dorsal digital island flap for fingertip reconstruction. J Hand Surg Am 31(7): 1094-1099.
11. Özcanlı H, Bektas¸ G, Cavit A, Duymaz A, Cos¸ kunfırat OK (2015) Reconstruction of fingertip defects with digital artery perforator flap. Acta Orthop Traumatol Turc 49(1): 18-22.
12. Güleç A, Özdemir A, Durgut F, Yildirim A, Acar MA (2019) Comparison of innervated digital artery perforator flap versus homodigital reverse flow flap techniques for fingertip reconstruction. J Hand Surg Am 44(9): 801.e1-801.e6.
13. Matei IR, Bumbasirevic M, Georgescu AV (2019) Finger defect coverage with digital artery perforator flaps. Injury 50(5): 95-98.
14. Qin H, Ma N, Du X et al (2020) Modified homodigital dorsolateral proximal phalangeal island flap for the reconstruction of finger-pulp defects. J Plast Reconstr Aesthet Surg 73(11): 1976-1981.
15. Ayhan E, Çevik K, Çelik V, Eskandari MM (2020) Patient satisfaction after innervated digital artery perforator flap for fingertip injuries. Acta Orthop Traumatol Turc 54(3): 269-275.
16. Cavit A, Civan O, Ozcanli H (2021) Long-term clinica outcomes of innervated digital artery perforator flap in the treatment of fingertip injuries. Acta Orthop Traumatol Turc 55(4): 332-337.
Article Sidebar
