Hassan, K. (2020). The Role of Reversed Homodigital Island Flap in Digital Reconstruction. The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), 575-580. doi: 10.21608/ejprs.2020.68223
Khaled Hassan. "The Role of Reversed Homodigital Island Flap in Digital Reconstruction". The Egyptian Journal of Plastic and Reconstructive Surgery, 43, 3, 2020, 575-580. doi: 10.21608/ejprs.2020.68223
Hassan, K. (2020). 'The Role of Reversed Homodigital Island Flap in Digital Reconstruction', The Egyptian Journal of Plastic and Reconstructive Surgery, 43(3), pp. 575-580. doi: 10.21608/ejprs.2020.68223
Hassan, K. The Role of Reversed Homodigital Island Flap in Digital Reconstruction. The Egyptian Journal of Plastic and Reconstructive Surgery, 2020; 43(3): 575-580. doi: 10.21608/ejprs.2020.68223
The Role of Reversed Homodigital Island Flap in Digital Reconstruction
The Department of Plastic and Reconstructive Surgery, Faculty of Medicine, Minia University, Egypt
Abstract
Background: Fingertip injuries are very common. Reconstruction of extensive distal phalangeal defects with exposure of tendon, bone, or joint can be particularly a difficult problem. Options are local, regional and free flaps. SSG on bone and tendon is unsuccessful and nondurable. The primary goals of digital reconstruction are to preserve digital length and maintain full mobility of the digit with providing adequate protective cover of the deeper vital structures with soft tissue and skin of good quality. Homodigital artery island flap has been found to be very useful and is commonly used for the reconstruction of fingertip amputations. Patients and Methods: We used the reversed homodigital artery island flap to reconstruct fingertip injuries in 8 patients at Minia University Hospital and private sector in the period between January to December 2017. We retrospectively analyzed patients for: Age, sex, mechanism of injury, location of defect, flap survival, sensory recovery and donor site coverage. Results: Five patients were males and 3 females. Age from 18 to 42 years mean (27.3 years). Six patients had complete flap survival and two patients suffered venous congestion that resolved completely by conservative measures. Donor site closure was directly closed in all cases. Near normal sensory recovery was noted. Conclusion: The reverse homodigital island flap is a safe method for distal phalangeal reconstruction offering multiple advantages over other local, regional and free flaps with an almost negligible donor site defect. Venous congestion and inability to reconstruct proximal finger defects are drawbacks
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