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KMID : 1038220220490060745
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Archives of Plastic Surgery
2022 Volume.49 No. 6 p.745 ~ p.749
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Reconstruction of Multiple Digital Defects by Temporary Syndactylization Using a Lateral Arm Free Flap
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Ki Sae-Hwi
Yoon Jin-Myung
Choi Matthew Seung-Suk
Park Tae-Jun
Hong Min-Ki
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Abstract
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Background :?Soft tissue defects of the multiple finger present challenges to reconstruction surgeons. Here, we introduce the use of a lateral arm free flap and syndactylization for the coverage of multiple finger soft tissue defects.
Methods :?This retrospective study was conducted based on reviews of the medical records of 13 patients with multiple soft tissue defects of fingers (n?=?33) that underwent temporary syndactylization with a microvascular lateral arm flap for temporary syndactylization from January 2010 to December 2020. Surgical and functional outcomes, times of flap division, complications, and demographic data were analyzed.
Results :?Middle fingers were most frequently affected, followed by ring and index fingers. Mean patient age was 43.58 years. The 13 patients had suffered 10 traumas, 2 thermal burns, and 1 scar contracture. Release of temporary syndactyly was performed 3 to 9 weeks after syndactylization. All flaps survived, but partial necrosis occurred in one patient, who required a local transposition flap after syndactylization release. The mean follow-up was 15.8 months.
Conclusion :?Coverage of multiple finger defects by temporary syndactylization using a free lateral arm flap with subsequent division offers an alternative treatment option.
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KEYWORD
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soft tissue defects , multiple defects , traumatic injury , amputation , free flap
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