Double-pivot proper digital artery perforator flap for fingertip reconstruction
Abstract Background Dorsal flap based on proper digital artery perforator has been commonly used in wound coverage of fingertip; yet a small diameter and short length poses a risk of pedicle kinking or occlusion. The present study aims to present our preliminary results of using a double-pivot perfo...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Journal of Orthopaedic Surgery and Research |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13018-023-04231-4 |
| _version_ | 1797452013353566208 |
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| author | Benquan Liu Ding Pan Zhiyu Gao Pengfei Duan Qifeng Ou |
| author_facet | Benquan Liu Ding Pan Zhiyu Gao Pengfei Duan Qifeng Ou |
| author_sort | Benquan Liu |
| collection | DOAJ |
| description | Abstract Background Dorsal flap based on proper digital artery perforator has been commonly used in wound coverage of fingertip; yet a small diameter and short length poses a risk of pedicle kinking or occlusion. The present study aims to present our preliminary results of using a double-pivot perforator flap based on the end dorsal branch of proper digital artery to repair finger pulp defect. Methods We designed a double-pivot flap based on the end-dorsal perforator branch of proper digital artery, raised from the dorsal aspect of the middle phalanx, with inclusion of both the perforator and a section of the trunk of the artery. This modified procedure forms a pedicle with a larger diameter and length than traditional designs. Twelve patients (12 fingers) each with a soft-tissue defect of the fingertip were successfully treated and followed up in this retrospective study. Results All the flaps survived without showing any signs of necrosis; three cases presented with transient venous flow disorder, these self-resolving without requiring any additional treatment. At final follow-up (12–33 months, mean 20 months), mean static two-point discrimination on the flap was 7.0 mm (range, 6–9). Conclusion The double-pivot proper digital artery flap serves as a reliable option in fingertip reconstruction offering added benefits of having greater rotation flexibility, a lower risk of vessel kinking or occlusion, and good recovery of cutaneous sensation. |
| first_indexed | 2024-03-09T15:02:38Z |
| format | Article |
| id | doaj.art-0eb2329832f146508a84750f62e8eccb |
| institution | Directory Open Access Journal |
| issn | 1749-799X |
| language | English |
| last_indexed | 2024-03-09T15:02:38Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Orthopaedic Surgery and Research |
| spelling | doaj.art-0eb2329832f146508a84750f62e8eccb2023-11-26T13:48:42ZengBMCJournal of Orthopaedic Surgery and Research1749-799X2023-09-011811710.1186/s13018-023-04231-4Double-pivot proper digital artery perforator flap for fingertip reconstructionBenquan Liu0Ding Pan1Zhiyu Gao2Pengfei Duan3Qifeng Ou4Department of Hand Surgery, Zhoukou Orthopedic HospitalDepartment of Orthopedics, Hand and Microsurgery, Xiangya Hospital, Central South UniversityDepartment of Hand Surgery, Zhoukou Orthopedic HospitalDepartment of Hand Surgery, Zhoukou Orthopedic HospitalDepartment of Orthopedics, Hand and Microsurgery, Xiangya Hospital, Central South UniversityAbstract Background Dorsal flap based on proper digital artery perforator has been commonly used in wound coverage of fingertip; yet a small diameter and short length poses a risk of pedicle kinking or occlusion. The present study aims to present our preliminary results of using a double-pivot perforator flap based on the end dorsal branch of proper digital artery to repair finger pulp defect. Methods We designed a double-pivot flap based on the end-dorsal perforator branch of proper digital artery, raised from the dorsal aspect of the middle phalanx, with inclusion of both the perforator and a section of the trunk of the artery. This modified procedure forms a pedicle with a larger diameter and length than traditional designs. Twelve patients (12 fingers) each with a soft-tissue defect of the fingertip were successfully treated and followed up in this retrospective study. Results All the flaps survived without showing any signs of necrosis; three cases presented with transient venous flow disorder, these self-resolving without requiring any additional treatment. At final follow-up (12–33 months, mean 20 months), mean static two-point discrimination on the flap was 7.0 mm (range, 6–9). Conclusion The double-pivot proper digital artery flap serves as a reliable option in fingertip reconstruction offering added benefits of having greater rotation flexibility, a lower risk of vessel kinking or occlusion, and good recovery of cutaneous sensation.https://doi.org/10.1186/s13018-023-04231-4FingertipReconstructionFlapsProper digital arteryPerforatorDouble-pivot design |
| spellingShingle | Benquan Liu Ding Pan Zhiyu Gao Pengfei Duan Qifeng Ou Double-pivot proper digital artery perforator flap for fingertip reconstruction Journal of Orthopaedic Surgery and Research Fingertip Reconstruction Flaps Proper digital artery Perforator Double-pivot design |
| title | Double-pivot proper digital artery perforator flap for fingertip reconstruction |
| title_full | Double-pivot proper digital artery perforator flap for fingertip reconstruction |
| title_fullStr | Double-pivot proper digital artery perforator flap for fingertip reconstruction |
| title_full_unstemmed | Double-pivot proper digital artery perforator flap for fingertip reconstruction |
| title_short | Double-pivot proper digital artery perforator flap for fingertip reconstruction |
| title_sort | double pivot proper digital artery perforator flap for fingertip reconstruction |
| topic | Fingertip Reconstruction Flaps Proper digital artery Perforator Double-pivot design |
| url | https://doi.org/10.1186/s13018-023-04231-4 |
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