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Correction of inverted nipples by strong suspension with areola-based dermal flaps.

Plastic and reconstructive surgery·2009

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Dorso Proximal Interphalangeal Island Flap.

Osvaldo J Pereira¹, Jorge B Ely², Jaime A Bertelli²

¹From Hospital Florianópolis-Plástica Doctor Clinic, Universidade Federal de Santa Catarina, Florianópolis, Brazil.

Plastic and Reconstructive Surgery. Global Open

|May 27, 2024

Summary

The dorsoproximal interphalangeal island flap effectively repairs finger joint injuries, offering a viable alternative to skin grafts for improved function and aesthetics. This technique shows promise for treating contractures and syndactyly.

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Area of Science:

Plastic Surgery
Hand Surgery
Microsurgery

Background:

Ventral proximal interphalangeal (PIP) joint lesions often require reconstructive surgery.
Traditional methods like skin grafts or cross-finger flaps have limitations.
The dorsoproximal interphalangeal (DPIP) island flap is explored as an alternative.

Purpose of the Study:

To evaluate the clinical application of the DPIP island flap for PIP joint reconstruction.
To compare its efficacy against traditional grafting methods.
To assess functional and aesthetic outcomes.

Main Methods:

A retrospective study of 15 patients (25 flaps) undergoing DPIP island flap reconstruction.
Primary indication: repair of volar contractures post-burn injury.
Secondary indication: treatment of syndactyly at the PIP joint.

Main Results:

High flap survival rate with satisfactory functional and aesthetic improvements.
Successful correction of palmar scar contractures in the PIP region.
Normal donor site healing and good skin characteristics (color, pliability).

Conclusions:

DPIP island flaps are a suitable option for soft tissue defects (10x15mm to 12x18mm) around the PIP joint.
The flap's rotational capacity allows versatile application for volar, lateral, ulnar, and radial defects.
Demonstrated potential for treating syndactyly and other complex finger anomalies.