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The versatile reverse-flow digital artery cross-finger flap
Mustafa Ersin Nuzumlali1, Kahraman Ozturk, Oya Bayri
1Istanbul Hand Surgery and Microsurgery Center, Aksaray Vatan Hospital, Istanbul, Turkey. ersinnuzumlali@isnet.net.tr
Techniques in Hand & Upper Extremity Surgery
|December 20, 2007
Summary
The reverse-flow digital artery cross-finger flap offers a versatile solution for digit soft tissue defects. This single-stage procedure provides good results for various injuries, simplifying digital reconstruction.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Microsurgery
Background:
- Digital soft tissue defects present reconstructive challenges.
- Existing flap techniques are often limited or require multiple stages and prolonged immobilization.
Purpose of the Study:
- To evaluate the efficacy of the reverse-flow digital artery cross-finger flap for digital soft tissue defect reconstruction.
- To determine if this flap is a universal solution for various digital defects.
Main Methods:
- A reverse-flow digital artery cross-finger flap was utilized in 9 patients.
- The flap was employed to reconstruct both volar and dorsal digital defects.
- Seven patients with over 2 years of follow-up were assessed.
Main Results:
- All 7 evaluated patients achieved satisfactory outcomes.
- The flap successfully addressed diverse volar and dorsal digital defects.
- No significant complications were reported in the evaluated cases.
Conclusions:
- The reverse-flow digital artery cross-finger flap is a highly effective and versatile option for digital soft tissue reconstruction.
- This technique represents a valuable, potentially universal, surgical solution for a wide range of digital defects.
- Its single-stage nature and good outcomes simplify treatment compared to traditional methods.
