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KMID : 1143020200250040282
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Archives of Hand and Microsurgery
2020 Volume.25 No. 4 p.282 ~ p.286
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Fingertip Reconstruction with Subcutaneous Island Flap and Composite Graft: A Case Report
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Park Jin-Ha
Kim Jin-Soo
Koh Sung-Hoon
Lee Dong-Chul
Roh Si-Young
Lee Kyung-Jin
Hong Min-Ki
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Abstract
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Reconstruction of amputated fingertips is extremely challenging when the amputee is very small and severely crushed. Moreover, there are not many options if distal phalanx is exposed due to defects of soft tissue. We report a case of successful fingertip reconstruction in a 10-month-old girl using a subcutaneous island flap with a composite graft. Her fingertip of the right little finger was amputated stuck by the air purifier. Some soft tissue was lost from the stump and the bone was exposed. There was a very small amputee, and soft tissue was extremely little inside. Replantation was not possible because of the soft tissue defect. The composite graft was inadequate due to the exposure of distal phalanx and defect of soft tissue. Soft tissue island ?ap based terminal branch of the digital artery was transposed to cover the distal phalanx. After then, the amputee was grafted over the flap. After debridement, most of the soft tissue survived and 0.2×0.2 cm of skin defect was found, which was healed through secondary intention.
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KEYWORD
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Island flap, Fingertip, Reconstruction
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Listed journal information
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