J Korean Orthop Assoc.
2001 Dec;36(6):507-512.
Reverse Digital Artery Island Sensory Flap With Bilateral Neurorrhaphy For Fingertip Reconstruction
- Affiliations
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- 1Department of Orthopedic Surgery, Pohang St. Mary's Hospital, Pohang, Korea.
- 2Department of Orthopedic Surgery, Buchun Hospital, College of Medicine, Soonchunhyang University, Buchun, Korea.
- 3Department of Orthopedic Surgery, Daegu Hyundae Hospital, Daegu, Korea.
Abstract
- PURPOSE
Fingertip injuries are the most common type of hand injuries. The most effective method of reconstruction is controversial functionally and aesthetically. We reports the clinical results of reverse digital artery island sensory flap by bilateral neurorrhaphy for finger tip reconstruction.
MATERIALS AND METHODS
From April 1998 to November 2000, 11 fingers in 10 patients with soft tissue defect of the distal phalanx were reconstructed using a reverse digital artery island sensory flap. In all cases bilateral neurorrhaphy was performed.
RESULTS
The survival of flaps was successful in all cases. All of the patients were followed up for more than 6 months. The mean value of moving two-point discrimination was 4.0 mm. Our patients were usually satisfied with the end result of these flaps both aesthetically and functionally.
CONCLUSION
We consider that reverse digital artery sensory flap is a safe and reliable procedure with a high survival rate, and that this modaleity is an excellent choice functionally and aesthetically for the coverage of defects of the distal phalanx.
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