|
KMID : 0358819910180020363
|
|
Journal of Korean Society of Plastic and Reconstructive Surgeons
1991 Volume.18 No. 2 p.363 ~ p.367
|
|
|
INNERVATED, REVERSE VASCULAR ISLAND FLAP OF DIGIT
|
|
|
|
|
Abstract
|
|
|
10 cases finger tip injury with defects of pulp or nail bed were covered by island flaps with digital vessels, in reversed vascular pedicle fashion. The survival of the flap was successful in all cases. The arterial blood flow is derived form the digital palmar arch which is anastomosed between the radial & ulna sides at the level of midpart of finger. Several communicating branches between the venae commitates and the collateral branches enable to drain reversely.
Finger tip sensation was provided by the anastomosis between the divided digital nerve end and the dissected digital nerve branch of the island flap. Follow up was from 6 months to 1 3 months postoperatively.
The functional evaluation revealed as follow. There was no cold intolerance of affected finger, but there was touch and pain sensation of flap. The shape of affected finger was acceptable aesthetically. The two point discrimination ranged 6mm to l0mm(average : 7.9mm).
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
  
|