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KMID : 0358819900170030441
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Journal of Korean Society of Plastic and Reconstructive Surgeons
1990 Volume.17 No. 3 p.441 ~ p.446
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FINGER TIP RECONSTRUCTION WITH STEP-ADVANCEMENT ISLAND FLAP
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Abstract
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Among the increasing hand injuries, finger-tip is being most frequently involved. Finger-tip is a primary contact area to external environment. The special sensory receptor sites in the glamorous skin are uniquely adapted for digital proprioception and should me preserved whenever possible. With a thoughtful consideration concerning etiology of the injuries, patients´age, occupation, and type of injuries, surgeon should select the method on an individual basis. An island flap based on single neurovascular bundle was used for finger-tip reconstruction. The design for step-advancement island flap incoperated the step ladder principle which ensures the provision of ample skin with full tactile sensibility in the required position without the risk of longitudinal volar scar and with good nail support. Author reports 15 cases of fingertip injury repaired with step-advancement island flap.
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