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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.

참고문헌 (8)

  1. Tuncali D, Barutcu AY, Gokrem S, Terzioglu A, Aslan G: The hatchet flap for reconstruction of fingertip amputations. Plast Reconstr Surg 117: 1933, 2006 
  2. Lucas GL: The pattern of venous drainage of the digits. J Hand Surg 9: 448, 1984 
  3. Cho JC, Hah JW: Coverage of finger tip injuries. J Korean Soc Plast Reconstr Surg 14: 595, 1987 
  4. Takeishi M, Shinoda A, Sugiyama A, Ui K: Innervated Reverse dorsal digital island flap for fingertip reconstruction. J Hand Surg 31: 1094, 2006 
  5. Yildirim S, Avci G, Akan M, Akoz T: Complications of the reverse homodigital island flap in fingertip reconstruction. Ann Plast Surg 48: 586, 2002 
  6. Kim KS, Yoo SI, Kim DY, Lee SY, Cho BH: Fingertip reconstruction using a volar flap based on the transverse palmar branch of the digital artery. Ann Plast Surg 47: 263, 2001 
  7. Cho JH, Bang YH: Clinical analysis of the reverse digital island flap. J Korean Soc Plast Reconstr Surg 25: 145, 1998 
  8. Koshima I, Urushibara K, Fukuda N, Ohkochi M, Nagase T, Gonda K, Asato H, Yoshimura K: Digital artery perforator flaps for fingertip reconstructions. Plast Reconstr Surg 118: 1579, 2006 

이 논문을 인용한 문헌 (1)

  1. Cho, Pil-Dong ; Moon, Min-Seon ; Shin, Keuk-Shun 2010. "Comparison Between the Digital Artery Perforator Flaps and the Distant Flaps within Hand" 大韓成形外科學會誌 = Journal of the Korean society of plastic and reconstructive surgeons, 37(1): 52~58 


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