Reverse digital artery cross-finger flap for reconstruction of failed finger replantation
Purpose: This study aimed to describe the reverse digital artery cross-finger flap (RDAC flap) in the treatment of failed finger replantation. Methods: This study retrospectively reviewed the records of patients who underwent modified RDAC flap reconstructions for failed finger replantation and asse...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2018-12-01
|
| Series: | Journal of Orthopaedic Surgery |
| Online Access: | https://doi.org/10.1177/2309499018816773 |
| _version_ | 1828259295315099648 |
|---|---|
| author | Dong Hee Kim Kyu Bum Seo Sang Hyun Lee Hee-Jin Lee Hong Je Kang |
| author_facet | Dong Hee Kim Kyu Bum Seo Sang Hyun Lee Hee-Jin Lee Hong Je Kang |
| author_sort | Dong Hee Kim |
| collection | DOAJ |
| description | Purpose: This study aimed to describe the reverse digital artery cross-finger flap (RDAC flap) in the treatment of failed finger replantation. Methods: This study retrospectively reviewed the records of patients who underwent modified RDAC flap reconstructions for failed finger replantation and assessed their outcomes. Of the patients who underwent soft tissue reconstructions for finger injuries between March 2011 and February 2015, we enrolled 11 patients in whom RDAC flap reconstruction procedures were performed to treat the failed replantations. Results: The flaps survived in all cases, with a mean static, two-point discrimination value of 5.3 mm (range, 4–7 mm) in the healed flaps. The sizes of the flaps ranged from 2 × 1 cm 2 to 2.3 × 1.5 cm 2 . Conclusion: The RDAC flap was introduced by Lai et al., and it is a mixed form with the advantages of both cross-finger flap and heterodigital island flap. Our results suggest that it could provide reliable coverage of the sensate soft tissue of fingers with failed replantation. |
| first_indexed | 2024-04-13T03:06:54Z |
| format | Article |
| id | doaj.art-ca154df04e8b49e3b0d6c1963abf21a1 |
| institution | Directory Open Access Journal |
| issn | 2309-4990 |
| language | English |
| last_indexed | 2024-04-13T03:06:54Z |
| publishDate | 2018-12-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of Orthopaedic Surgery |
| spelling | doaj.art-ca154df04e8b49e3b0d6c1963abf21a12022-12-22T03:05:14ZengSAGE PublishingJournal of Orthopaedic Surgery2309-49902018-12-012710.1177/2309499018816773Reverse digital artery cross-finger flap for reconstruction of failed finger replantationDong Hee Kim0Kyu Bum Seo1Sang Hyun Lee2Hee-Jin Lee3Hong Je Kang4 Department of Orthopaedic Surgery, Samsung Changwon Hospital, Sungkyunkwan University School of Medicine, Seoul, South Korea Department of Orthopedic Surgery, College of Medicine, Jeju National University, Jeju, South Korea Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Seo-gu, Busan, South Korea Department of Orthopaedic Surgery, Medical Research Institute, Pusan National University Hospital, Seo-gu, Busan, South Korea Departments of Orthopedic Surgery, Wonkwang University Hospital, Wonkwang University School of Medicine, Jeollabuk-do, South KoreaPurpose: This study aimed to describe the reverse digital artery cross-finger flap (RDAC flap) in the treatment of failed finger replantation. Methods: This study retrospectively reviewed the records of patients who underwent modified RDAC flap reconstructions for failed finger replantation and assessed their outcomes. Of the patients who underwent soft tissue reconstructions for finger injuries between March 2011 and February 2015, we enrolled 11 patients in whom RDAC flap reconstruction procedures were performed to treat the failed replantations. Results: The flaps survived in all cases, with a mean static, two-point discrimination value of 5.3 mm (range, 4–7 mm) in the healed flaps. The sizes of the flaps ranged from 2 × 1 cm 2 to 2.3 × 1.5 cm 2 . Conclusion: The RDAC flap was introduced by Lai et al., and it is a mixed form with the advantages of both cross-finger flap and heterodigital island flap. Our results suggest that it could provide reliable coverage of the sensate soft tissue of fingers with failed replantation.https://doi.org/10.1177/2309499018816773 |
| spellingShingle | Dong Hee Kim Kyu Bum Seo Sang Hyun Lee Hee-Jin Lee Hong Je Kang Reverse digital artery cross-finger flap for reconstruction of failed finger replantation Journal of Orthopaedic Surgery |
| title | Reverse digital artery cross-finger flap for reconstruction of failed finger replantation |
| title_full | Reverse digital artery cross-finger flap for reconstruction of failed finger replantation |
| title_fullStr | Reverse digital artery cross-finger flap for reconstruction of failed finger replantation |
| title_full_unstemmed | Reverse digital artery cross-finger flap for reconstruction of failed finger replantation |
| title_short | Reverse digital artery cross-finger flap for reconstruction of failed finger replantation |
| title_sort | reverse digital artery cross finger flap for reconstruction of failed finger replantation |
| url | https://doi.org/10.1177/2309499018816773 |
| work_keys_str_mv | AT dongheekim reversedigitalarterycrossfingerflapforreconstructionoffailedfingerreplantation AT kyubumseo reversedigitalarterycrossfingerflapforreconstructionoffailedfingerreplantation AT sanghyunlee reversedigitalarterycrossfingerflapforreconstructionoffailedfingerreplantation AT heejinlee reversedigitalarterycrossfingerflapforreconstructionoffailedfingerreplantation AT hongjekang reversedigitalarterycrossfingerflapforreconstructionoffailedfingerreplantation |