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Related Experiment Videos

The reverse digital artery flap for fingertip reconstruction.

C S Lai1, S D Lin, C C Yang

  • 1Department of Surgery, Kaohsiung Medical College and Taiwan, Republic of China.

Annals of Plastic Surgery
|June 1, 1989
PubMed
Summary

Reverse digital artery flaps offer a successful, single-stage solution for fingertip and phalanx reconstruction. This effective surgical technique minimizes recovery time and preserves digit function.

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Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Microsurgery

Background:

  • Fingertip and proximal phalanx defects present reconstructive challenges.
  • Traditional methods may involve prolonged immobilization or functional deficits.

Purpose of the Study:

  • To evaluate the efficacy of reverse digital artery flaps for resurfacing hand defects.
  • To assess the functional and aesthetic outcomes of this reconstructive technique.

Main Methods:

  • Reverse digital artery flaps were utilized in 11 patients.
  • Flaps were raised on a vascular pedicle including the digital artery and perivascular tissue.
  • Reconstruction covered defects from the proximal phalanx to the fingertip.

Main Results:

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  • Successful resurfacing was achieved in all 11 cases (10 fingertip, 1 middle phalanx volar defect).
  • No flap loss was observed in this series.
  • The procedure allowed for a wide arc of transposition and reconstruction of extensive defects.

Conclusions:

  • Reverse digital artery flaps are a reliable, time-saving, one-stage procedure for hand reconstruction.
  • This technique avoids prolonged immobilization, long hospitalization, disfigurement, and functional loss.
  • Favorable clinical results support the use of reverse digital artery flaps for digital defects.