Simple Molding Method for Post-distant Flap Stated Finger by Using Surgical Rubber Gloves.

Kim, Ho Kil; Choi, Hwan Jun; Kim, Mi Sun; Shin, Ho Sung; Tark, Min Sung

Case Report

Journal of the Korean Society of Plastic and Reconstructive Surgeons 2006;33(2):263-267.
Published online March 1, 2006.

Simple Molding Method for Post-distant Flap Stated Finger by Using Surgical Rubber Gloves.

Ho Kil Kim, Hwan Jun Choi, Mi Sun Kim, Ho Sung Shin, Min Sung Tark

Department of Plastic and Reconstructive Surgery, College of Medicine, Soon Chun Hyang University, Gumi-si, Korea. medi619@hanmail.net

Abstract

In both cosmetic and functional aspects, loss of digital pulp is a common problem. Compound or composite defects of the hand and fingers with exposed denuded tendon, bone, joint, or neurovascular structures may require flap coverage. Most often these lesions can be repaired by using simple local flap, neurovascular flap, thenar flap, and cross-finger flap. But microvascular reconstruction is sometimes needed for large defects. But Authors do not recommend these procedures in case of severe crushing injuries involving multiple finger pulp losses because they have possibility of damage of the vascular network and infection. So we applied distant flaps such as chest flaps, groin flaps, abdominal flaps and etc. And then we applied surgical rubber gloves for remodeling the flap after cutaneous healing. We have acquired satisfactory results, after the simple molding method for distant flap finger by using surgical rubber gloves treatment.

Keywords: Distant flap; Pedicled flap; Molding method; Surgical rubber glove