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Arch Hand Microsurg > Volume 24(1); 2019 > Article
Archives of Hand and Microsurgery 2019;24(1):74-78.
Published online March 1, 2019.
DOI: https://doi.org/10.12790/ahm.2019.24.1.74   
Early Flap Detachment of Heterodigital Island Flaps
Jung Hoon Lee1,2, Jin Yong Shin1,2, Si-Gyun Roh1,2, Suk Choo Chang1,2, Nae-Ho Lee1,2
1Department of Plastic and Reconstructive Surgery, Chonbuk National University Medical School, Jeonju, Korea. psjyshin@gmail.com
2Research Institute of Clinical Medicine of Chonbuk National University, Biomedical Research Institute of Chonbuk National University Hospital, Jeonju, Korea.
Received: 22 October 2018   • Revised: 18 December 2018   • Accepted: 28 December 2018
Abstract
Many surgical techniques for the reconstruction of fingertip injuries and soft tissue defect have been described depending on the type of injuries. Heterodigital island flap is useful for the repair of various fingertip injuries. Although usually surgical detachment procedures have been performed about 14 postoperative days (POD), we introduce early detachment technique as an effective surgical method. Twenty-three cases undergone a heterodigital island flap from 2013 to 2017 were included in this study. Among them in 10 cases undergone flap detachment between 7 to 10 POD. After detachment, flap survived with no severe complications. Patient's mean hospital days from day of surgery to discharge were shortend.
Key Words: Heterodigital island flap, Fingertip injury, Early flap detachment
 
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