Summary
We described a treatment of fingertip avulsion injury by two periposition pedicled
flaps, the reversed pedicle island flap of dorsal branch of proper digital artery
and the cross-finger flap. From February 2009 to January 2017, 22 patients (22 fingers)
with fingertip avulsion injury were treated with two periposition pedicled flaps,
14 male and 8 female, aged from 17 to 47 years (mean 32 ± 9 years). All of the patients
were followed up more than 6 months after operations (mean 9.6 ± 2.6 months). All
flaps survived completely. Compared with the traditional abdominal flaps, two periposition
pedicled flaps had less pedicle division time. At last follow-up, the 2PD of the palmar
part of the flaps, the TAM of the injured finger and the MHQ summary score of the
two periposition pedicled flaps were much better than the traditional abdominal flaps.
The reconstruction using two periposition pedicled flaps is a versatile treatment
with better functions, less morbidity and better aesthetics.
Level of evidence: Therapeutic, level III.
Keywords
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Article info
Publication history
Published online: January 09, 2019
Accepted:
December 21,
2018
Received in revised form:
December 13,
2018
Received:
September 12,
2018
Identification
Copyright
© 2019 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
