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Updated: Jan 31, 2026
06:32
Coronoid-Temporalis Pedicled Flap for Orbital Floor Defect Reconstruction
Published on: December 5, 2025
675
Modified single pedicle reverse adipofascial flap for fingertip reconstruction
Luigi Losco1, Federico Lo Torto1, Michele Maruccia2
1Department of Surgery "Pietro Valdoni," Plastic Surgery Unit, Sapienza University of Rome, Rome, Italy.
Microsurgery
|December 19, 2018
Summary
This study shows a modified single pedicle reverse adipofascial flap effectively reconstructs fingertip defects, offering improved rotation for complex tissue loss and good patient outcomes.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Distal fingertip defects often require reconstruction.
- Traditional homodigital adipofascial flaps have limitations in covering bone exposure without tension.
- A modified single pedicle reverse adipofascial flap technique was developed to improve rotational capacity.
Observation:
- Fifteen patients with fingertip amputations (Allen's type II and III) were treated.
- Defect sizes averaged 2.7 cm², with patients aged 22-63 years.
- Functional and aesthetic outcomes were assessed using validated scores and tests.
Findings:
- The modified flap demonstrated a 93% survival rate (14/15 cases).
- Nail regrowth occurred in all cases within 6 months.
- Excellent functional recovery was noted, with mean Quick Disabilities of the Arm, Shoulder, and Hand (DASH) score of 2.6 and mean 2-point discrimination of 4.5 mm.
Implications:
- The single pedicle reverse adipofascial flap is an effective technique for fingertip reconstruction.
- This modified procedure offers enhanced flap rotation, addressing challenging defect geometries.
- The technique facilitates successful return to work, indicating good functional restoration.
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