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[The reversed de-epithelialized flap]

G Foucher1, M Merle, R Debry

  • 1SOS MAIN Strasbourg, Strasbourg.

Annales De Chirurgie De La Main : Organe Officiel Des Societes De Chirurgie De La Main
|January 1, 1982
PubMed
Summary
This summary is machine-generated.

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The reversed deepithelialized flap, a surgical technique, is now applicable for hand reconstruction. This method expands the use of cross-finger flaps in complex hand defects.

Area of Science:

  • Plastic Surgery
  • Hand Surgery
  • Reconstructive Surgery

Context:

  • The reversed deepithelialized flap is a surgical technique initially described for lower limb reconstruction.
  • Its application in hand surgery was first reported by Pakian.
  • This technique involves reversing a classical cross-finger flap.

Purpose:

  • To describe the application of the reversed deepithelialized flap in hand surgery.
  • To expand the indications for cross-finger flaps in hand reconstruction.

Summary:

  • A classical cross-finger flap is deepithelialized and reversed, with the dermal surface facing the defect.
  • The dermal part of the flap contacts the exposed structures requiring coverage.
  • This modification allows for reconstruction in cases where a traditional cross-finger flap is not feasible.

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Impact:

  • Increases the versatility and applicability of the cross-finger flap technique in hand surgery.
  • Offers a viable reconstructive option for complex hand defects previously untreatable with standard flaps.
  • Enhances outcomes in hand reconstruction by enabling coverage of exposed structures.