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The Brunelli reversed flow pedicle flap from the thumb
1Department of Orthopaedic Surgery, National University of Singapore, Singapore.
Plastic and Reconstructive Surgery
|December 1, 1996
Summary
A reversed flow pedicle flap, based on thumb vascularity, effectively covered a little finger defect. This versatile flap offers advantages over traditional cross-finger techniques for reconstructive surgery.
Area of Science:
- Plastic Surgery
- Hand Surgery
- Microsurgery
Background:
- Reconstructive surgery for hand defects often requires versatile soft tissue flaps.
- Traditional methods like cross-finger flaps have limitations in coverage and sensation.
Observation:
- A reversed flow pedicle flap, utilizing the dorsoulnar collateral artery of the thumb, was employed.
- This flap was used to reconstruct a significant volar defect on the little finger.
Findings:
- The Brunelli flap demonstrated versatility in covering complex volar defects.
- The flap's design allows for potential innervation, enhancing functional recovery.
- It offers reduced donor-site morbidity compared to other flap options.
Implications:
- The reversed flow pedicle flap presents a valuable alternative for hand reconstruction.
- This technique may improve outcomes in cases requiring soft tissue coverage and sensation.
- Further studies can explore its application in diverse hand defect scenarios.