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Related Experiment Video

Updated: May 16, 2026

An Experimental Human DIEP Flap Model to Investigate Preservation Strategies for Vascularized Composite Allografts and Free Flaps

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Innervated digital artery perforator flap.

Haluk Ozcanli¹, Osman Koray Coskunfirat, Gamze Bektas

¹Department of Orthopedics, and the Department of Plastic and Reconstructive Surgery, Akdeniz University Faculty of Medicine, Antalya, Turkey. ozcanli@akdeniz.edu.tr

The Journal of Hand Surgery

|December 11, 2012

Summary

The innervated digital artery perforator (IDAP) flap is a reliable technique for fingertip reconstruction. This minimally invasive method offers good sensory recovery and few complications for fingertip defects.

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Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Fingertip defects present a reconstructive challenge.
Traditional methods may have limitations in restoring sensation and function.

Purpose of the Study:

To describe the technique and outcomes of the innervated digital artery perforator (IDAP) flap for fingertip defect reconstruction.
To evaluate the efficacy and safety of the IDAP flap in a clinical setting.

Main Methods:

Seventeen patients underwent fingertip reconstruction using the IDAP flap.
Postoperative assessments included sensory testing (Semmes-Weinstein Monofilament, 2-point discrimination), patient satisfaction, range of motion, and complication evaluation.

Main Results:

All 17 IDAP flaps achieved complete survival with no secondary interventions required.
Good sensory recovery was noted, with static 2-point discrimination comparable to the contralateral hand.
Minor complications included mild nail deformity, cold intolerance, and hypersensitivity in a few patients.

Conclusions:

The IDAP flap is a reliable, versatile, and minimally invasive option for fingertip reconstruction.
This technique offers ease of use and good functional outcomes, making it suitable for defects where replantation is not an option.