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Arch Hand Microsurg > Volume 23(2); 2014 > Article
Archives of Hand and Microsurgery 2014;23(2):65-69.
Published online November 30, 2014.
Reconstruction of Distal Phalangeal Soft Tissue Defects with Reverse Homodigital Artery Island Flap
Byung-Gook Kim<sup>1</sup>, Soo-Hong Han<sup>*</sup>, Ho-Jae Lee, Soo-Hyun Lee
1Department of Orthopaedic Surgery, CHA Bundang Medical Center, Seongnam, Korea.
2CHA Gumi Medical Center, Gumi, CHA University, Korea.
Received: 16 October 2014   • Revised: 18 November 2014   • Accepted: 19 November 2014

Purpose: Soft tissue reconstruction is essential for recovery of finger function and aesthetics in any traumatic defect. The authors applied a reverse homodigital artery island flap for soft tissue defect on distal part of digits. The aim of this study is to evaluate the efficacy of the procedure.
Materials and Methods: Seven cases of soft tissue defects of finger tip were included in this study. There were six male and one female, mean age was 43 years and mean followup period was 38 months. The length of flaps ranged from 2.0 to 2.5 cm and width ranged from 1.0 to 2.0 cm. Flap survival, postoperative complications were evaluated.
Results: All flaps survived without loss. Donor sites were repaired with primary closure in five cases and skin graft in two cases. None of the patients showed significant complications and their average finger motion was 255o in total active motion at the last follow-up.
Conclusion: The authors suggest that the reverse homodigital artery island flap could be a versatile treatment option for the soft tissue defect on distal part of digits.

Key Words: Fingers, Soft tissue injury, Reverse homodigital artery island flap

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