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Distally Based Dorsal Flag Flap for the Fingertip Defects
Veena Prabhakar Waiker1, Shantha Kumar Shivalingappa1, Kumaraswamy Mohan1
1Department of plastic surgery, Ramaiah Medical College, Bangalore, India.
World Journal of Plastic Surgery
|January 25, 2023
Summary
The distally based dorsal flag flap is a reliable option for fingertip reconstruction. This plastic surgery technique offers good maneuverability for finger defects, with a low flap loss rate.
Area of Science:
- Plastic Surgery
- Reconstructive Surgery
- Hand Surgery
Background:
- Fingertip injuries are prevalent in plastic surgery.
- The proximally based dorsal flag flap is a known treatment option.
- The reliability of the distally based dorsal flag flap for finger defects requires further investigation.
Purpose of the Study:
- To evaluate the reliability of the distally based dorsal flag flap for fingertip defect reconstruction.
Main Methods:
- Retrospective study of patients with fingertip injuries.
- Reconstruction using the distally based dorsal flag flap.
- Analysis of flap success and complications.
Main Results:
- 19 patients underwent flap reconstruction (16 hetero-digital, 4 homo-digital).
- One flap was lost during reconstruction.
- Four patients developed fingertip ulceration, which healed with dressings.
Conclusions:
- The distally based dorsal flag flap is a robust option for fingertip reconstruction.
- Its narrow base enhances maneuverability, aiding comfortable finger positioning.
