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The versatile axial pattern digital transposition flap.

E J Fleegler¹, N Weinzweig

¹Department of Plastic Surgery, Cleveland Clinic Foundation, OH 44106.

The Journal of Hand Surgery

|July 1, 1988

Summary

This study presents a reliable axial pattern transposition flap for complex finger injuries. This one-step technique uses local tissue, preserving fingertip sensation and avoiding distant donor sites.

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Area of Science:

Plastic Surgery
Hand Surgery
Reconstructive Surgery

Background:

Complex distal finger injuries present significant reconstructive challenges.
Traditional methods may require distant donor sites or compromise adjacent digits.

Purpose of the Study:

To present the anatomic and clinical basis of a versatile axial pattern transposition flap.
To evaluate its efficacy in reconstructing complex distal finger injuries.

Main Methods:

A one-step axial pattern transposition flap procedure was developed.
The flap utilizes nondominant side digital skin, potentially preserving the digital nerve.

Main Results:

The flap proved valuable in salvaging severely injured digits in eight patients (nine flaps).
It provided non-bulky, good quality tissue without the need for distant donor sites.

Conclusions:

The axial pattern transposition flap is a reliable and versatile option for complex distal finger injuries.
This technique offers a valuable alternative to distant flap reconstruction, potentially preserving fingertip sensation.

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