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Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options

BACKGROUND: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomical configur...

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Autores principales: Khan, Waseem-Ullah, Appukuttan, Aswin, Loh, Charles Yuen Yung
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9667202/
https://www.ncbi.nlm.nih.gov/pubmed/36407856
http://dx.doi.org/10.1016/j.jpra.2022.09.004
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author Khan, Waseem-Ullah
Appukuttan, Aswin
Loh, Charles Yuen Yung
author_facet Khan, Waseem-Ullah
Appukuttan, Aswin
Loh, Charles Yuen Yung
author_sort Khan, Waseem-Ullah
collection PubMed
description BACKGROUND: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomical configurations described in literature for fingertip reconstruction and their results. METHODS: A literature review of PubMed, Medline and Embase databases was conducted. Studies reporting homodigital digital artery perforator flaps for fingertip reconstruction without sacrificing the proper digital artery were included in the review. Data collected included flap design, perforator location, pathology, defect location, flap dimensions, flap survival, sensory recovery, range of movement, outcome measures, and complications. The flaps were analysed and categorized based on flap location, flap design, transfer method, and flap innervation. RESULTS: Pedicled digital artery perforators have been described in various configurations by different authors including propeller, bilobed, V-Y advancement, rotation and turnover flaps. Variations to make these flaps sensate have also been described. According to the available reports, these flaps have low complications and high patient satisfaction rates. CONCLUSION: Pedicled digital artery perforator flaps provide a versatile option for the reconstruction of fingertip and thumb tip defects. Various flap options are available for use depending on the reconstructive need. They are quicker and easier to perform than free flaps and can provide excellent outcomes in suitable cases.
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spelling pubmed-96672022022-11-17 Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options Khan, Waseem-Ullah Appukuttan, Aswin Loh, Charles Yuen Yung JPRAS Open Review Article BACKGROUND: Digital artery perforator flaps provide a useful option for reconstruction of soft tissue defects of the digits, and many variations of these flaps have been described for fingertip defects. This review aims to summarize various pedicled digital artery perforator flap anatomical configurations described in literature for fingertip reconstruction and their results. METHODS: A literature review of PubMed, Medline and Embase databases was conducted. Studies reporting homodigital digital artery perforator flaps for fingertip reconstruction without sacrificing the proper digital artery were included in the review. Data collected included flap design, perforator location, pathology, defect location, flap dimensions, flap survival, sensory recovery, range of movement, outcome measures, and complications. The flaps were analysed and categorized based on flap location, flap design, transfer method, and flap innervation. RESULTS: Pedicled digital artery perforators have been described in various configurations by different authors including propeller, bilobed, V-Y advancement, rotation and turnover flaps. Variations to make these flaps sensate have also been described. According to the available reports, these flaps have low complications and high patient satisfaction rates. CONCLUSION: Pedicled digital artery perforator flaps provide a versatile option for the reconstruction of fingertip and thumb tip defects. Various flap options are available for use depending on the reconstructive need. They are quicker and easier to perform than free flaps and can provide excellent outcomes in suitable cases. Elsevier 2022-10-05 /pmc/articles/PMC9667202/ /pubmed/36407856 http://dx.doi.org/10.1016/j.jpra.2022.09.004 Text en © 2022 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review Article
Khan, Waseem-Ullah
Appukuttan, Aswin
Loh, Charles Yuen Yung
Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title_full Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title_fullStr Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title_full_unstemmed Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title_short Homodigital Pedicled Digital Artery Perforator flaps for fingertip reconstruction - a review of flap options
title_sort homodigital pedicled digital artery perforator flaps for fingertip reconstruction - a review of flap options
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9667202/
https://www.ncbi.nlm.nih.gov/pubmed/36407856
http://dx.doi.org/10.1016/j.jpra.2022.09.004
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