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Related Experiment Videos

Reverse dorsal digital island flap

M D Bene1, M Petrolati, P Raimondi

  • 1Hand and Plastic Surgery Department, Legnano Hospital, Italy.

Plastic and Reconstructive Surgery
|March 1, 1994
PubMed
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This study presents a versatile homodigital flap technique for finger wound reconstruction. The procedure effectively salvages severely injured digits, promoting faster recovery and reducing hospital stays.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Background:

  • Difficult distal dorsal and dorsolateral finger wounds pose reconstructive challenges.
  • Existing methods may involve distant flaps or digit immobilization, complicating recovery.

Purpose of the Study:

  • To present the anatomic and clinical basis for a reliable homodigital flap.
  • To demonstrate its versatility in covering challenging finger injuries.

Main Methods:

  • A one-step reverse island flap procedure using dorsal skin from the first or second phalanx.
  • Preservation of the collateral nerve and artery to the fingertip.

Main Results:

  • Successful salvage of severely injured digits in nine patients (12 flaps).

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  • The flap proved valuable for difficult-to-cover distal finger wounds.

    • Conclusions:

    • This homodigital flap is a simple and effective method for digit reconstruction.
    • It facilitates early recovery, avoids distant flap issues, and improves patient outcomes.