Arch Reconstr Microsurg.  2014 Nov;23(2):65-69. 10.15596/ARMS.2014.23.2.65.

Reconstruction of Distal Phalangeal Soft Tissue Defects with Reverse Homodigital Artery Island Flap

• Kim BG
• Han SH
• Lee HJ
• Lee SH

• KMID: 1917840
• DOI: http://doi.org/10.15596/ARMS.2014.23.2.65

Abstract

PURPOSE
Soft tissue reconstruction is essential for recovery of finger function and aesthetics in any traumatic defect. The authors applied a reverse homodigital artery island flap for soft tissue defect on distal part of digits. The aim of this study is to evaluate the efficacy of the procedure.
MATERIALS AND METHODS
Seven cases of soft tissue defects of finger tip were included in this study. There were six male and one female, mean age was 43 years and mean follow-up period was 38 months. The length of flaps ranged from 2.0 to 2.5 cm and width ranged from 1.0 to 2.0 cm. Flap survival, postoperative complications were evaluated.
RESULTS
All flaps survived without loss. Donor sites were repaired with primary closure in five cases and skin graft in two cases. None of the patients showed significant complications and their average finger motion was 255degrees in total active motion at the last follow-up.
CONCLUSION
The authors suggest that the reverse homodigital artery island flap could be a versatile treatment option for the soft tissue defect on distal part of digits.

Keyword

Fingers; Soft tissue injury; Reverse homodigital artery island flap

MeSH Terms

Arteries*
Esthetics
Female
Fingers
Follow-Up Studies
Humans
Male
Postoperative Complications
Skin
Soft Tissue Injuries
Tissue Donors
Transplants