Transpositional adipofascial flaps for complicated acute finger injries

Area of Science:

• Hand surgery
• Plastic surgery
• Regenerative medicine

Background:

• Complicated acute finger injuries often require complex soft-tissue reconstruction.
• Traditional methods may involve multiple stages or less versatile tissue coverage.

Purpose of the Study:

• To evaluate the efficacy of local transpositional adipofascial flaps for treating complicated acute finger injuries.
• To assess the functional and aesthetic outcomes of this one-stage reconstructive procedure.

Main Methods:

• A retrospective review of seven patients with complicated acute finger injuries treated with local transpositional adipofascial flaps.
• Application of full-thickness skin grafts to the adipofascial flaps for coverage.

Main Results:

• All seven patients achieved successful wound healing.
• Excellent restoration of full range of motion in finger joints was observed.
• The procedure demonstrated advantages including simplicity, rapidity, minimal scarring, and reduced pain.

Conclusions:

• Local transpositional adipofascial flaps are a versatile and reliable option for soft-tissue defects of the fingers.
• This one-stage procedure facilitates early healing and functional recovery, eliminating the need for secondary surgery.