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Related Experiment Videos

Double reverse-flow island flaps for two adjacent finger tissue defect.

Tufan Kaleli1, Salim Ersozlu, Cagatay Ozturk

  • 1Faculty of Medicine, Department of Orthopedic Surgery, University of Uludag, 16059, Görükle, Bursa, Turkey. kaleli@uludag.edu.tr

Archives of Orthopaedic and Trauma Surgery
|February 6, 2004
PubMed
Summary

Double reverse-flow island flaps effectively reconstruct adjacent finger tissue defects. This surgical method provides a viable solution for complex hand injuries, achieving satisfactory sensitive function in fingertip reconstructions.

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Area of Science:

  • Hand Surgery
  • Plastic Surgery
  • Microsurgery

Background:

  • Fingertip reconstruction presents significant challenges in hand surgery.
  • Tissue loss affecting multiple digits complicates surgical management.
  • Conventional methods include regional, distant, and local flaps.

Purpose of the Study:

  • To evaluate the efficacy of double reverse-flow island flaps for soft-tissue reconstruction in adjacent finger injuries.
  • To assess the functional outcomes, particularly sensitivity, of this technique.

Main Methods:

  • A modified reverse-flow homodigital island flap technique was applied to five patients with adjacent digit tissue loss.
  • Double island flaps were raised from the proximal phalanx, preserving digital artery anastomoses.

Related Experiment Videos

  • Flaps were designed to originate from the same common palmar digital artery.

    • Main Results:

    • Three fingertip defects were reconstructed with sensitive flaps following digital nerve anastomosis.
    • Two middle phalanx dorsal defects resulted in non-sensitive flaps.
    • No instances of infection or flap failure were observed across all cases.

    Conclusions:

    • Double reverse-flow island flaps are a feasible option for reconstructing adjacent finger tissue defects.
    • The technique is particularly effective for fingertip injuries, restoring sensitive function.
    • Maintaining the vascular supply from a common palmar digital artery is crucial for success.