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The dorsal middle phalangeal finger flap
Handchirurgie, Mikrochirurgie, Plastische Chirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Handchirurgie : Organ Der Deutschsprachigen Arbeitsgemeinschaft Fur Mikrochirurgie Der Peripheren Nerven Und Gefasse : Organ Der V
|September 1, 1988
Summary
A novel neurovascular flap from the finger
Area of Science:
- Plastic Surgery
- Microsurgery
- Hand Surgery
Background:
- Reconstructive surgery often requires versatile flaps.
- Digital injuries necessitate specialized reconstructive techniques.
Purpose of the Study:
- To describe a new one-stage neurovascular flap from the finger dorsum.
- To highlight its potential applications in various reconstructive scenarios.
Main Methods:
- Harvesting a flap based on a proper digital artery and associated nerves.
- Evaluating flap size, pedicle length, and arc of rotation.
- Assessing sensory potential and donor site morbidity.
Main Results:
- The described flap measures up to 3x6 cm with a 12 cm vascular pedicle.
- It offers discriminative sensibility and low donor morbidity.
- The flap can be used as a pedicled, free, or flow-through flap.
Conclusions:
- This versatile neurovascular flap provides a valuable option for digital reconstruction.
- Its characteristics make it suitable for replantation, revascularization, and free tissue transfer.