Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
Summary: Background: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomica...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-12-01
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| Series: | JPRAS Open |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352587822000717 |
| _version_ | 1811187555540926464 |
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| author | Waseem-Ullah Khan Aswin Appukuttan Charles Yuen Yung Loh |
| author_facet | Waseem-Ullah Khan Aswin Appukuttan Charles Yuen Yung Loh |
| author_sort | Waseem-Ullah Khan |
| collection | DOAJ |
| description | Summary: Background: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomical configurations described in literature for fingertip reconstruction and their results. Methods: A literature review of PubMed, Medline and Embase databases was conducted. Studies reporting homodigital digital artery perforator flaps for fingertip reconstruction without sacrificing the proper digital artery were included in the review. Data collected included flap design, perforator location, pathology, defect location, flap dimensions, flap survival, sensory recovery, range of movement, outcome measures, and complications. The flaps were analysed and categorized based on flap location, flap design, transfer method, and flap innervation. Results: Pedicled digital artery perforators have been described in various configurations by different authors including propeller, bilobed, V-Y advancement, rotation and turnover flaps. Variations to make these flaps sensate have also been described. According to the available reports, these flaps have low complications and high patient satisfaction rates. Conclusion: Pedicled digital artery perforator flaps provide a versatile option for the reconstruction of fingertip and thumb tip defects. Various flap options are available for use depending on the reconstructive need. They are quicker and easier to perform than free flaps and can provide excellent outcomes in suitable cases. |
| first_indexed | 2024-04-11T14:04:16Z |
| format | Article |
| id | doaj.art-e92d534d3f1f4f3c9a7a3ba322d98a7d |
| institution | Directory Open Access Journal |
| issn | 2352-5878 |
| language | English |
| last_indexed | 2024-04-11T14:04:16Z |
| publishDate | 2022-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JPRAS Open |
| spelling | doaj.art-e92d534d3f1f4f3c9a7a3ba322d98a7d2022-12-22T04:19:57ZengElsevierJPRAS Open2352-58782022-12-0134199218Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap optionsWaseem-Ullah Khan0Aswin Appukuttan1Charles Yuen Yung Loh2St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, Chelmsford, Essex, United Kingdom, CM1 7ETCorresponding author: Aswin Appukuttan MBBS MS(Surg) MCh(Plast) FRCS(Plast) FEBHS(FESSH), St Andrews Centre for Plastic Surgery and Burns Broomfield Hospital, Court Road, Chelmsford, Essex, United Kingdom, CM1 7ET; St Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, Chelmsford, Essex, United Kingdom, CM1 7ETSt Andrew's Centre for Plastic Surgery and Burns, Broomfield Hospital, Court Road, Chelmsford, Essex, United Kingdom, CM1 7ETSummary: Background: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomical configurations described in literature for fingertip reconstruction and their results. Methods: A literature review of PubMed, Medline and Embase databases was conducted. Studies reporting homodigital digital artery perforator flaps for fingertip reconstruction without sacrificing the proper digital artery were included in the review. Data collected included flap design, perforator location, pathology, defect location, flap dimensions, flap survival, sensory recovery, range of movement, outcome measures, and complications. The flaps were analysed and categorized based on flap location, flap design, transfer method, and flap innervation. Results: Pedicled digital artery perforators have been described in various configurations by different authors including propeller, bilobed, V-Y advancement, rotation and turnover flaps. Variations to make these flaps sensate have also been described. According to the available reports, these flaps have low complications and high patient satisfaction rates. Conclusion: Pedicled digital artery perforator flaps provide a versatile option for the reconstruction of fingertip and thumb tip defects. Various flap options are available for use depending on the reconstructive need. They are quicker and easier to perform than free flaps and can provide excellent outcomes in suitable cases.http://www.sciencedirect.com/science/article/pii/S2352587822000717Digital artery perforator flapDAP flapHomodigital perforator flapIslanded digital artery perforator flapFingertip reconstruction |
| spellingShingle | Waseem-Ullah Khan Aswin Appukuttan Charles Yuen Yung Loh Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options JPRAS Open Digital artery perforator flap DAP flap Homodigital perforator flap Islanded digital artery perforator flap Fingertip reconstruction |
| title | Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options |
| title_full | Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options |
| title_fullStr | Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options |
| title_full_unstemmed | Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options |
| title_short | Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options |
| title_sort | homodigital pedicled digital artery perforator flaps for fingertip reconstruction a review of flap options |
| topic | Digital artery perforator flap DAP flap Homodigital perforator flap Islanded digital artery perforator flap Fingertip reconstruction |
| url | http://www.sciencedirect.com/science/article/pii/S2352587822000717 |
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