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Journal of the Korean Society of Plastic and Reconstructive Surgeons 2008;35(4):483-486.
Published online July 1, 2008.
Reconstruction of Fingertip Amputation by Using Digital Artery Perforator Flap.
Young In Ha, Sung Gyun Jung, Ho Seong Shin, Eun Soo Park, Jang Woo Park, Hwan Jun Choi
Department of Plastic and Reconstructive Surgery College of Medicine, Soon Chun Hyang University, Gyeonggi, Korea. psjung@schbc.ac.kr
Abstract
PURPOSE
Fingertip injuries are the most common hand injuries and may lead to significant disability. Knowledge of fingertip anatomy is mandatory to treat these injuries effectively. All surgical techniques used for coverage of fingertip injuries must be based on the nature of the injury and the patient's age. Many authors have studied the method of fingertip reconstruction because goals of these treatments should include maintaining length, sensibility, motions, and appearance. The purpose of this study is to evaluate the effect of digital artery perforator flap for fingertip reconstruction without aesthetic and functional problems. METHODS: From November 2006 to March 2007, the authors performed fingertip reconstruction on 3 fingers of 3 patients, aged between 41 to 54 years (average age, 47 years) using digital artery perforator flap.
RESULTS
All fingers recovered successfully and there were no necrosis of the flap. We followed up 3 cases more than 5 months. Light touch and temperature sensation could be detected in all flaps and the static two-point discrimination test was 8 mm.
CONCLUSION
This flap is an alternative choice for coverage of fingertip defects. This method also takes short time to procedure and to recovery. The digital artery perforator flap has never been reported in Korea, however it is considered as a useful method for treatment of fingertip injury.
Keywords: Perforator flap; Fingertip injury
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