Surgery of the Hand
Abstrak
Purpose: The reverse digital island flap is useful for the repair of various finger-tip 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 re-sults 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.
Penulis (5)
J. Shin
Mun-Young An
Si-Gyun Roh
Nae-Ho Lee
Kyung‐Moo Yang
Akses Cepat
PDF tidak tersedia langsung
Cek di sumber asli →- Tahun Terbit
- 1940
- Bahasa
- en
- Total Sitasi
- 714×
- Sumber Database
- Semantic Scholar
- DOI
- 10.1111/j.1742-1241.1947.tb01271.x
- Akses
- Open Access ✓