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Published on: March 31, 2022
Utility of the Digital Fillet Flap
Suhail Masadeh1, Pedro Rodriguez2, Alec J Dierksheide3
1Department of Surgery, U.S. Department of Veterans Affairs, Cincinnati VA Medical Center, 3200 Vine Street, Cincinnati, OH 45219, USA; Department of Surgery, Division of Podiatric Surgery, University of Cincinnati Medical Center, 231 Albert Sabin Way, ML 0513, Cincinnati, OH 45276, USA.
The digital fillet flap is a viable option for forefoot soft tissue defects. Proper anatomical knowledge, patient selection, and surgical techniques enhance outcomes and minimize complications.
Area of Science:
- Plastic Surgery
- Orthopedic Surgery
- Reconstructive Surgery
Background:
- Soft tissue deficits in the forefoot can be challenging to manage.
- The digital fillet flap offers a potential solution for coverage.
Purpose of the Study:
- To evaluate the efficacy of the digital fillet flap for forefoot soft tissue coverage.
- To identify key factors influencing surgical outcomes.
Main Methods:
- Review of anatomical considerations for the digital fillet flap.
- Discussion of patient selection criteria.
- Emphasis on surgical techniques including delay procedures and flap inset.
Main Results:
- The digital fillet flap is a suitable option for forefoot soft tissue reconstruction.
- Understanding anatomy and careful patient selection are crucial for success.
Conclusions:
- The digital fillet flap is a valuable reconstructive tool for forefoot defects.
- Surgeons must master flap delay and inset techniques to optimize results and reduce complications.

