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Pulp Rotation Flap for Lateral Oblique Fingertip Defects.
Muhammed Besir Ozturk1, Seda Asfuroglu Barutca, Tolga Aksan
1From the *Department of Plastic Reconstructive and Aesthetic Surgery, Goztepe Training and Research Hospital, T.C. Medeniyet University, Istanbul, Turkey; and †Department of Plastic and Reconstructive Surgery, Mengucek Gazi Training and Research Hospital, Erzincan, Turkey.
A simple rotation flap effectively reconstructs lateral oblique fingertip amputations, offering a viable solution for this common hand injury with minimal complications and good functional outcomes.
Area of Science:
- Hand surgery
- Reconstructive surgery
- Trauma surgery
Background:
- Fingertip amputations are common hand injuries.
- Classified as transverse or oblique (dorsal, volar, lateral).
- Limited repair options exist for lateral oblique amputations.
Purpose of the Study:
- To evaluate a simple rotation flap for lateral oblique fingertip amputations.
- To assess the efficacy and safety of this technique.
Main Methods:
- 16 patients with lateral oblique fingertip amputations underwent surgery.
- A simple rotation flap from the remaining pulp was used.
- Flaps were advanced and rotated for reconstruction.
Main Results:
- 14 out of 16 flaps achieved complete healing and survival.
- Two patients experienced superficial distal flap necrosis, healing by secondary intention.
- No significant complications like hooked nails, cold intolerance (1 patient), or joint stiffness were noted.
- Normal two-point discrimination was achieved.
Conclusions:
- The rotation flap technique is simple, rapid, and has few major complications.
- It allows for anatomical fingertip reconstruction using similar tissue.
- This method is a successful option for lateral oblique fingertip amputations.
