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Murine Flexor Tendon Injury and Repair Surgery
Published on: September 19, 2016
Free dorsal middle phalangeal finger flap
Meisei Takeishi1, Katsuhiko Ishida, Kunihiro Kurihara
1Department of Plastic and Reconstructive Surgery, Jikei University School of Medicine, Tokyo, Japan.
Journal of Reconstructive Microsurgery
|October 19, 2006
Summary
Free dorsal middle phalangeal (DMF) finger flaps offer a successful solution for finger reconstruction. This technique ensures flap survival and avoids complications like blood congestion, making it a valuable surgical option.
Area of Science:
- Plastic Surgery
- Microsurgery
- Reconstructive Surgery
Background:
- Finger reconstruction addresses critical functional and aesthetic deficits.
- Free dorsal middle phalangeal (DMF) flaps represent an innovative reconstructive option.
Observation:
- The study details the application of free DMF flaps in three patients.
- All harvested flaps demonstrated successful survival post-surgery.
Findings:
- Free DMF flaps utilize dorsal branches of the digital artery for blood supply and dorsal cutaneous veins for drainage.
- This technique avoids postoperative blood congestion, a common issue with island flaps.
- Incorporating dorsal digital nerve branches can restore flap sensibility.
- Venous grafting can mitigate risks associated with digital artery loss at the donor site.
Implications:
- The free DMF flap is a viable and effective technique for managing skin and soft-tissue defects in the digits.
- Brachial plexus block anesthesia offers a surgical advantage for this procedure.
- This method enhances reconstructive possibilities in complex hand injuries.
