J Korean Surgery Hand Soc Search

CLOSE


Journal of the Korean Society for Surgery of the Hand 1996;1(1):83-90.
Published online January 1, 1996.
Local Flap Transfer on Finger Tip Injuries
Jun Mo Lee,Hag Ji Kim
국소 피부판을 이용한 수지 말단부 손상의 치료
이준모,김학지
Abstract
No single technique is satisfactory for all finger tip reconstructions to provide a sensate digit, a padded digit, a pain free tip, maximum length, appropriate nail appearance and support, normal joint movement, and the best cosmesis, however, skin graft, local flap and regional flap are options being performed for coverage. The Atasoy V-Y volar flap is useful primarily when the distal phalanx is exposed with increased length volarly and more proximal injury dorsally. The Kutler flap is advanced from each side of the digit when the distal phalanx is exposed and angle of tissue loss is transverse. Thenar flap is benefitable to avoid PIP joint contracture in young women, and ipsilateral neurovascular island flap is useful for pulp loss. We have treated 22 cases of finger tip injuries in adults by Kutler-type lateral V-Y flap in 10 cases, Atasoy volar V-Y advancement flap in 8, thenar flap in 3, and ipsilateral neurovascular island flap in 1 from from March 1989 through February 1996 at Department of Orthopedic Surgery, Chonbuk National University Hospital. The results was summarized as follows. 1. Industrial injuries were the most common causes of the finger tip injuries(12 cases, 60%). 2. Index finger was most frequently sustained(9 cases, 45%). 3. Kutler's flap was designed to cover the exposed area of most of the injured finger tips(10 tips, 45%). 4. Static two-point discrimination test revealed injured finger tip was no more compatible to the intact contralateral one, but pinch function and contour of the finger tip was acceptable enough to return to the job among the industrial cases(8 cases, 67%).
 
TOOLS
  • PDF Links PDF Links
  • Full text via DOI   Full text via DOI
  • Download Citation Download Citation
Share :
Facebook Linked In Line it
METRICS Graph View
  • 674 View
  • 2 Download
Related articles in Arch Hand Microsurg

Free Flap Transfer for the Reconstruction of Injured Hands2005 December;10(4)

Tendon Transfer on the Impaired Hand by Injuries1997 November;2(2)

Immediate Toe-to-Hand Transfer in Acute Hand Injuries2002 May;11(1)



About
Article and topics
Article category

Browse all articles >

Topics

Browse all articles >

Browse articles
Editorial policies
For contributors
Editorial Office
Department of Orthopedic Surgery, Yonsei University Medical School
(Research Center of Future Medicine of Gangnam Severance Hospital)
20, Eonju-ro 63-gil, Gangnam-gu, Seoul, 06229, Korea
Tel: +82-02-2019-3410    Fax: +82-02-2019-4926    E-mail: journal@handmicro.org                

Copyright © 2025 by Korean Society for Surgery of the Hand, Korean Society for Microsurgery, and Korean Society for Surgery of the Peripheral Nerve.

Developed in M2PI

Close layer
prev next