ISLAND FLAP RECONSTRUCTION OF THE WEB SPACE IN CONGENITAL INCOMPLETE SYNDACTYLY

2004 ◽  
Author(s):  
M BRENNEN
Keyword(s):  
Island Flap ◽  
Flap Reconstruction ◽  
Web Space ◽  
The Web

A Modification of the Chinese Island Flap Technique for Simple Incomplete Syndactyly Release

2008 ◽  
Vol 34 (1) ◽  
pp. 99-103 ◽  
Author(s):  
S. TADIPARTHI ◽  
A. MISHRA ◽  
P. MCARTHUR
Keyword(s):  
Island Flap ◽  
Skin Grafts ◽  
Flap Technique ◽  
Vascular Compromise ◽  
Web Space ◽  
The Web

This paper presents a modification of the technique described by Yao et al. using a vascular island flap based on a dorsal digital vessel, which allows transfer of the web proximally and retains the integrity of the web skin. The technique was used in nine patients, aged from 1 to 15 years at operation, with nine incomplete simple syndactylies. The results were assessed at a mean of 36 (range 5–60) months after surgery. No vascular compromise or web creep was noted. This technique enables transfer of web skin proximally in cases of simple, incomplete syndactyly, avoids the presence of scars in the web space and does not require skin grafts.

scholarly journals Reverse digital artery cross-finger flap for reconstruction of failed finger replantation

2018 ◽  
Vol 27 (1) ◽  
pp. 230949901881677
Author(s):  
Dong Hee Kim ◽  
Kyu Bum Seo ◽  
Sang Hyun Lee ◽  
Hee-Jin Lee ◽  
Hong Je Kang
Keyword(s):  
Soft Tissue ◽  
Island Flap ◽  
Flap Reconstruction ◽  
Digital Artery ◽  
Mixed Form ◽  
Finger Injuries ◽  
Finger Replantation

Purpose:This study aimed to describe the reverse digital artery cross-finger flap (RDAC flap) in the treatment of failed finger replantation.Methods:This study retrospectively reviewed the records of patients who underwent modified RDAC flap reconstructions for failed finger replantation and assessed their outcomes. Of the patients who underwent soft tissue reconstructions for finger injuries between March 2011 and February 2015, we enrolled 11 patients in whom RDAC flap reconstruction procedures were performed to treat the failed replantations.Results:The flaps survived in all cases, with a mean static, two-point discrimination value of 5.3 mm (range, 4–7 mm) in the healed flaps. The sizes of the flaps ranged from 2 × 1 cm2to 2.3 × 1.5 cm2.Conclusion:The RDAC flap was introduced by Lai et al., and it is a mixed form with the advantages of both cross-finger flap and heterodigital island flap. Our results suggest that it could provide reliable coverage of the sensate soft tissue of fingers with failed replantation.

Modified Dorsal Rotation Advancement Flap for Release of the Thumb Web Space

2006 ◽  
Vol 31 (2) ◽  
pp. 226-229 ◽  
Author(s):  
H. ABDEL GHANI
Keyword(s):  
Advancement Flap ◽  
Local Flap ◽  
Thumb Hypoplasia ◽  
Web Space ◽  
Palmar Skin ◽  
Rotation Advancement ◽  
The Web

The dorsal rotational advancement flap described by Buck-Gramcko in 1998 is a good local flap for release of the thumb index web space. This paper describes a modification which broadens the apex of the flap and increases its length. This modification provides a long wide flap which releases the thumb index web space with suture lines far beyond the web. In addition, it provides a release of the palmar skin even when very tight in severe narrowing of the web. It is suitable for release of thumb–index syndactyly, severe narrowing of the web in thumb hypoplasia and congenital clasped thumb.

Keystone Island Flap Reconstruction of Parotid Defects

2012 ◽  
Vol 130 (1) ◽  
pp. 36e-41e ◽  
Author(s):  
Felix C. Behan ◽  
Cheng H. Lo ◽  
Andrew Sizeland ◽  
Toan Pham ◽  
Michael Findlay
Keyword(s):  
Island Flap ◽  
Flap Reconstruction

The Use of Split Thickness Skin Grafts in the Correction of Apert’s Syndactyly

2001 ◽  
Vol 26 (1) ◽  
pp. 8-10 ◽  
Author(s):  
M. M. AL-QATTAN
Keyword(s):  
Skin Graft ◽  
Joint Contracture ◽  
Skin Grafts ◽  
Thickness Skin ◽  
Constant Feature ◽  
Apert's Syndrome ◽  
Web Space ◽  
Skin Graft Contraction ◽  
The Web

Stiffness of the interphalangeal joints of the fingers is a constant feature of Apert’s syndrome. Because of this stiffness, the author has used split-thickness skin grafts when correcting Apert’s syndactyly, thinking that contraction of such grafts post-operatively would not cause any joint contracture or finger deviation. This paper reports the results of eight patients whose average age at first surgery was 6 months. Separation of all digits was accomplished before the age of 2 years. A dorsal rectangular flap and interposing triangular digital flaps were utilised to create the web space and partially cover the skin defects in the fingers. The remaining digital defects were covered with thin split-thickness skin grafts which took fully in all cases. At final follow-up (1–6 years), the areas covered by skin grafts have reduced in size significantly because of skin graft contraction. However, this did not result joint contracture or digital deviation.

Results of syndactyly release using a modification of the Flatt technique

2014 ◽  
Vol 39 (9) ◽  
pp. 984-988 ◽  
Author(s):  
A. G. Barabás ◽  
M. A. Pickford
Keyword(s):  
Graft Failure ◽  
Skin Grafts ◽  
Full Thickness ◽  
Full Thickness Skin ◽  
Straight Line ◽  
Thickness Skin ◽  
The Mean ◽  
Web Space ◽  
The Web

The results of 144 congenital syndactyly releases over a 12-year period by a single surgeon using a modified Flatt technique (dorsal hourglass flap, interdigitating zigzag flaps, and full-thickness skin grafts) are analyzed considering the association of skin grafts and web creep. The mean follow-up was 5 years. There were seven cases of graft failure, only one of which developed web creep. Web creep occurred in 4.2% of web releases. The results suggest that avoiding longitudinal straight-line scars across the web space may be an important factor in avoiding web creep when performing the modified Flatt technique described.

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