Reverse flap based on the end dorsal branches of digital artery to repair fingertip defect
AIM:To discuss the methods and the clinical efficacy for repairing fingertip defect with dorsal reverse flap of middle phalanx based on the end dorsal branches of digital artery. METHODS: From February 2007 to February 2008, 20 cases of reverse flap combined with the end dorsal branches of digital artery from the dorsal of the middle phalanx was harvested for coverage of fingertip soft tissue loss and exposed digital bone, index finger 9 cases, middle finger 7 cases, ring finger 4 cases. Its area was from 1.0 cm × 1.5 cm to 1.6 cm × 2.7 cm, donor site grafted with free skin. RESULTS: All 20 cases that was content contour, soft texture, normal complexiom survived completely and were followed up for 6 months to 1 year, the tow-point discrimination ranged between 6 and 8 mm, invalid fingers had a satisfactory appearance and function. CONCLUSION: The reverse flap is an efficient and practical method for repairing fingertip soft tissue loss and exposed digital bone. It is simplicity, non-invasion to the artery or nerves, reliable blood supply, high success rate.
end dorsal branches of digital arterysurgical flapsfingertip defect
NETL
NSTL
万方数据
维普
