Finger Reconstrcution by Inguinal Tubed Flap

Journal of the Korean Society for Surgery of the Hand 2005;10(3):149-155.
Published online September 1, 2005.

Jung-Min Park, Jung Heo, Jae-Sung Ha, Keun-Cheol Lee, Seok-kwun Kim, Jin-Hyeong Kim

원통형 서혜부 피판을 이용한 수지재건술

박정민, 허 정, 하재성, 이근철, 김석권, 김진형1

Abstract

We commonly come in contact with patients with skin and soft tissue injury of digits in clinics but it is not easy to reconstruct the injured digits functionally and aesthetically. Authors performed 12 cases of finger reconstruction (degloving injury: 8 cases, crushing injury: 4 cases) using superficial circumflex iliac artery (SCIA) based extended inguinal tubed flap from 1998 to 2004. All patients showed successful results without major complications, for example total flap necrosis. Finger tip necrosis was shown in two patients after the flap detachment. These complications were solved by debridement and stump revision. SCIA based extended inguinal flap has a lot of advantages - simple, easy procedure, reliability, long flap length, minimal donor site scar, and so on. Especially, multiple injured digits can be reconstructed by only one flap elevation. Therefore SCIA based extended inguinal tubed flap is one of the useful method in reconstruction of skin and soft tissue injury of the digits.