Journal List > J Korean Orthop Assoc > v.36(6) > 1103367

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Lee, Lee, Kim, Choi, and Lee: Reverse Digital Artery Island Sensory Flap With Bilateral Neurorrhaphy For Fingertip Reconstruction
Original Article

Journal of the Korean Orthopaedic Association 2001; 36(6): 507-512.

Published online: 31 December 2001

DOI: https://doi.org/10.4055/jkoa.2001.36.6.507

Reverse Digital Artery Island Sensory Flap With Bilateral Neurorrhaphy For Fingertip Reconstruction

Sang Soo Lee, Young Ho Lee, Joo Sung Kim, Jin Hyoug Choi, Sang Eun Lee

Department of Orthopedic Surgery, Pohang St. Mary's Hospital, Pohang, Korea.

Department of Orthopedic Surgery, Buchun Hospital, College of Medicine, Soonchunhyang University, Buchun, Korea.

Department of Orthopedic Surgery, Daegu Hyundae Hospital, Daegu, Korea.

Copyright © 2001 The Korean Orthopaedic Association

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.

Keywords: Fingertip, Reverse digital artery island sensory flap

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