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Finger defect coverage with digital artery perforator flaps.

Ileana Rodica Matei1, Marko Bumbasirevic2, Alexandru Valentin Georgescu1

  • 1Department of Plastic Surgery and Reconstructive Microsurgery, University of Medicine Iuliu Hatieganu, Cluj Napoca, Romania; Clinic of Plastic Surgery and Reconstructive Microsurgery, Clinical Hospital of Recovery, Str. Viilor 46-50, 400347 Cluj Napoca, Romania.

Injury
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PubMed
Summary
This summary is machine-generated.

Local perforator flaps offer a reliable solution for finger defect coverage. This fast, less invasive method ensures good sensation and quick recovery, promoting early social and professional reintegration.

Keywords:
Bi-lobed digital artery pedicled perforator flapsDigital artery propeller perforator flaps

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Area of Science:

  • Plastic Surgery
  • Reconstructive Surgery
  • Microsurgery

Background:

  • Digital defects pose challenges in reconstructive surgery.
  • Traditional methods may involve donor site morbidity and prolonged recovery.

Purpose of the Study:

  • To demonstrate the advantages of using local perforator flaps for finger defect coverage.
  • To evaluate the efficacy of propeller and bi-lobed pedicled flaps in digital reconstruction.

Main Methods:

  • Anatomical study on cadaver segments.
  • Retrospective analysis of 81 local perforator flaps in 80 patients over 10 years (2007-2016).
  • Flap types included digital artery propeller perforator flaps (DAPP), island transposition perforator flaps (DATP), and bi-lobed pedicled perforator flaps (BLP).

Main Results:

  • Mean interval for social and professional reintegration was 12 days.
  • Complications were minor (venous congestion, epidermolysis, superficial necrosis) and healed well.
  • All patients achieved normal range of motion and satisfactory sensibility (2-point discrimination between 4-14 mm).
  • High patient satisfaction (67 very satisfied, 11 satisfied).

Conclusions:

  • Local perforator flaps provide a reliable, fast, and less invasive alternative for digital defect coverage.
  • The 'like-with-like' replacement ensures good reinnervation and rapid functional recovery.
  • This technique facilitates early social and professional reintegration.