Reverse Midpalmar Island Flap Transfer for Fingertip Reconstruction

This fingertip reconstruction study retrospectively compared sensory recovery and active range of motion outcomes in neurovascular island advancement and reverse digital artery island flaps. Seventeen oblique triangular flaps and 14 reverse digital artery island flaps were performed for nail bed level fingertip amputations (Ishikawa subzone II). There was no significant difference between the two procedures in the Semmes–Weinstein monofilament test and range of motion results. For static and moving two-point discrimination tests, however, those with a reverse digital artery island flap required a longer period for sensory recovery compared to those with an oblique triangular advancement flap. This trend equilibrated at 12 months after surgery showing no significant difference in both static and moving two-point discrimination tests between the procedures.

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Use of a near‐infrared vein visualization device in partial second toe pulp flap transfer for fingertip reconstruction

Microsurgery ◽

10.1002/micr.30619 ◽

2020 ◽

Vol 40 (6) ◽

pp. 719-720

Author(s):

Yoshitsugu Hattori ◽

Shoichi Imai ◽

Runa Nakamura ◽

Atsushi Niu

Keyword(s):

Near Infrared ◽

Flap Transfer ◽

Fingertip Reconstruction ◽

Second Toe ◽

Visualization Device

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Long-term outcome of fingertip reconstruction with the homodigital neurovascular island flap

Archives of Orthopaedic and Trauma Surgery ◽

10.1007/s00402-019-03198-4 ◽

2019 ◽

Vol 139 (8) ◽

pp. 1171-1178 ◽

Cited By ~ 2

Author(s):

Annika Arsalan-Werner ◽

Natallia Brui ◽

Isabella Mehling ◽

Michael Schlageter ◽

Michael Sauerbier

Keyword(s):

Island Flap ◽

Term Outcome ◽

Long Term Outcome ◽

Fingertip Reconstruction

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Complications of the Reverse Homodigital Island Flap in Fingertip Reconstruction

Annals of Plastic Surgery ◽

10.1097/00000637-200206000-00004 ◽

2002 ◽

Vol 48 (6) ◽

pp. 586-592 ◽

Cited By ~ 37

Author(s):

Serkan Yildirim ◽

G??lden Avci ◽

Mithat Akan ◽

Tayfun Ak??z

Keyword(s):

Island Flap ◽

Fingertip Reconstruction

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Fingertip Reconstruction with Subcutaneous Island Flap and Composite Graft: A Case Report

Archives of Hand and Microsurgery ◽

10.12790/ahm.20.0047 ◽

2020 ◽

Vol 25 (4) ◽

pp. 282-286

Author(s):

Jinha Park ◽

Jin Soo Kim ◽

Sung Hoon Koh ◽

Dong Chul Lee ◽

Si Young Roh ◽

...

Keyword(s):

Soft Tissue ◽

Composite Graft ◽

Soft Tissue Defect ◽

Distal Phalanx ◽

Island Flap ◽

Terminal Branch ◽

Skin Defect ◽

Secondary Intention ◽

The Right ◽

Fingertip Reconstruction

Reconstruction of amputated fingertips is extremely challenging when the amputee is very small and severely crushed. Moreover, there are not many options if distal phalanx is exposed due to defects of soft tissue. We report a case of successful fingertip reconstruction in a 10-month-old girl using a subcutaneous island flap with a composite graft. Her fingertip of the right little finger was amputated stuck by the air purifier. Some soft tissue was lost from the stump and the bone was exposed. There was a very small amputee, and soft tissue was extremely little inside. Replantation was not possible because of the soft tissue defect. The composite graft was inadequate due to the exposure of distal phalanx and defect of soft tissue. Soft tissue island ﬂap based terminal branch of the digital artery was transposed to cover the distal phalanx. After then, the amputee was grafted over the flap. After debridement, most of the soft tissue survived and 0.2×0.2 cm of skin defect was found, which was healed through secondary intention.

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