Dorsal digital retrograde island flap for repairing the defect of soft tissue
ZHANG Rui-hong
ZHANG Yan-mao
LIU Hui-ren
YU Zhan-yong
CHEN Yu-gang
GAO Shuo
LIU Jian-hua
Abstract：Objective To investigate the surgical methods and efficacy of the dorsal reverse digital island flap in repairing soft tissue defects of fingertip .Methods From Jan.2010 to Apr.2015,45 fingers of 41 cases with soft tissue defects of fingertip and digital bone exposure were treated with dorsal reverse digital island flap .There were 32 males and 9 females,with an average of 37 years(age ranged from 17 to 57 years).The size of the defects ranged from 1.8cm ×1.5cm to 3.0 cm ×2.5cm.The flaps ranging from 2.0 cm ×1.8cm to 3.2cm ×2.8cm were reversed to repair the fingertip defects ,and the rotation point was proximal to the phalangeal joints .Results All cases survived completely .After a follow-up ranging from 5 to 20 months with an average of 12.5 months,39 fingers after reconstruction had satisfactory appearances and functions .The color ,elasticity and texture of flaps were excel-lent,and the donor sites had satisfactory appearance .The two point discrimination of the flap was 8-10mm.Conclu-sion Reverse digital island flap is one of the effective methods to repair the defect of fingertip soft tissue with many advantages such as simple operative procedure ,no hurting the interphalangeal artery and nerve ,long vascular pedi-cle,large rotation angle in radians ,high success rate and atisfactory curative effect .
Keywords：finger injurysoft tissue defectisland flap
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 625-626,627 )