Innervated Reversed Digital Artery Cross-Finger Flap for Soft Tissue Reconstruction of the Fingers.

Journal of the Korean Society for Surgery of the Hand 2004;9(4):267-271.
Published online December 1, 2004.

Kyung-Chul Kim, Sung-Han Ha, Gi-Jun Lee, Joo-Sung Kim, Sang-Hyun Woo

수지 교차형 역혈행성 도서형 감각 피판을 이용한 수지 연부 조직 결손의 재건

김경철, 하성한, 이기준, 김주성, 우상현

Abstract

This study investigated the clinical application of innervated reversed digital artery cross-finger flap in reconstruction of soft tissue defect of finger. There were seven patients in whom conventional cross-finger flaps, homodigital flaps or free flap could not be used. Flap size averaged in 8.6 cm2 (2.4¡¿3.6 cm). All flaps survived and there was no venous congestion or partial necrosis. In all cases, nerve repair was performed with dorsal branch of digital nerve of donor finger. The mean value of static two point discrimination was 8 mm. The morbidity of donor site was minimal. Most patients were satisfied with the result of these flaps both aesthetically and functionally. However, the indication for this flap must be considered carefully.