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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2022
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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. |
format | Online Article Text |
id | pubmed-9667202 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
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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