Reverse Dorsolateral Proximal Phalangeal Island Flap: A Modified Technique for Reconstruction of Finger Defect

Liu BS, Gong YP, Tan J, Chen J, Sun YC and Chen QZ

Department of Hand Surgery, Affiliated Hospital of Nantong University, China
Department of Hand Surgery, Medical College of Nantong University, China

^*Correspondance to: Chen QZ 

 PDF  Full Text DOI: 10.25107/2474-1647.2196

Abstract

Soft tissue defects of the fingertip are the very common after hand injuries. Nevertheless, they still represent a challenging issue for hand surgeons. This article aims to report a modified reverse dorsolateral homo digital island flap for reconstruction of finger tip and pulp defect. We performed 13 reconstructive procedures in 11 patients with the reverse dorsolateral proximal phalangeal island flap for fingertip amputations or finger pulp defects. After the surgical procedures, no flap ischemia was found by us. However, five flaps displayed mild venous congestion 2 days later, which were improved by removing compression on the pedicle. At final follow-up 4 weeks post surgery all flaps and donor side grafted skins survived. No wound infection was observed. The reconstructive finger got a satisfied appearance. Our results demonstrate that the reverse dorsolateral proximal phalangeal island flap is a useful and reliable option for reconstruction of finger tip and pulp defect

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Cite the article

Liu BS, Gong YP, Tan J, Chen J, Sun YC, Chen QZ. Reverse Dorsolateral Proximal Phalangeal Island Flap: A Modified Technique for Reconstruction of Finger Defect. Clin Surg. 2018; 3: 2196.