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.

Clinical application of a free radial artery superficial palmar branch flap for soft-tissue reconstruction of digital injuries

2016 ◽  
Vol 42 (2) ◽  
pp. 151-156 ◽  
Author(s):  
S. H. Lee ◽  
S. J. Cheon ◽  
Y. J. Kim
Keyword(s):  
Soft Tissue ◽  
Clinical Application ◽  
Radial Artery ◽  
Soft Tissue Reconstruction ◽  
Flap Reconstruction ◽  
Level Of Evidence ◽  
Finger Injuries ◽  
Flap Transfer ◽  
Tissue Reconstruction ◽  
Poor Outcomes

Unsuccessful reconstruction of injured fingers can lead to poor outcomes. The aim of this article was to investigate the clinical application of the radial artery superficial palmar branch flap for soft-tissue reconstruction of the finger. We treated 125 patients with various finger injuries who underwent free radial artery superficial palmar branch flap reconstruction between October 2010 and March 2015. There were 46 distal finger injuries, 25 distal finger amputation following failed replantation and 54 palmar digital injuries with tendon, bone or joint exposure requiring soft-tissue reconstruction. Of the 125 cases, 114 flap reconstructions were considered successful. We believe that a free radial artery superficial palmar branch flap transfer is credible and useful for reconstructing various finger injuries. Level of Evidence: III

Comparison of flap reconstruction for soft tissue sarcomas of the foot and ankle

2021 ◽  
Author(s):  
Katherine E. Mallett ◽  
Matthew T. Houdek ◽  
Rachel L. Honig ◽  
Karim Bakri ◽  
Peter S. Rose ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Soft Tissue Sarcomas ◽  
Flap Reconstruction ◽  
Foot And Ankle

Flap Reconstruction of Sarcoma Defects in the Setting of Neoadjuvant and Adjuvant Radiation

2018 ◽  
Vol 35 (04) ◽  
pp. 287-293 ◽  
Author(s):  
Rohini Kadle ◽  
Catherine Motosko ◽  
George Zakhem ◽  
John Stranix ◽  
Timothy Rapp ◽  
...  
Keyword(s):  
Radiation Therapy ◽  
Soft Tissue ◽  
Radiation Treatment ◽  
Soft Tissue Sarcomas ◽  
Adjuvant Radiation ◽  
Complication Rates ◽  
Flap Reconstruction ◽  
Fasciocutaneous Flaps ◽  
Musculoskeletal Tumor Society

Background Limb-sparing treatment of extremity soft tissue sarcomas requires wide resections and radiation therapy. The resulting complex composite defects necessitate reconstructions using either muscle or fasciocutaneous flaps, often in irradiated wound beds. Methods A retrospective chart review was performed of all limb-sparing soft tissue sarcoma resections requiring immediate flap reconstruction from 2012 through 2016. Results Forty-four patients with 51 flaps were identified: 25 fasciocutaneous and 26 muscle-based flaps. Mean defect size, radiation treatment, and follow-up length were similar between groups. More often, muscle-based flaps were performed in younger patients and in the lower extremity. Seventeen flaps were exposed to neoadjuvant radiation, 12 to adjuvant radiation, 5 to both, and 17 to no radiation therapy. Regardless of radiation treatment, complication rates were comparable, with 28% in fasciocutaneous and 31% in muscle-based groups (p < 0.775). Muscle-based flaps performed within 6 weeks of undergoing radiotherapy were less likely to result in complications than those performed after greater than 6 weeks (p < 0.048). At time of follow-up, Musculoskeletal Tumor Society scores for fasciocutaneous and muscle-based reconstructions, with or without radiation, showed no significant differences between groups (mean [SD]: 91% [8%] vs. 89% [13%]). Conclusion The similar complication rates and functional outcomes in this study support the safety and efficacy of both fasciocutaneous flaps and muscle-based flaps in reconstructing limb-sparing sarcoma resection defects, with or without radiotherapy.

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