Department of Plastic, Reconstructive and Aesthetic Surgery, Faculty of Medicine, Ondokuz Mayis University, Samsun, Turkey.
J Reconstr Microsurg. 2011 Nov;27(9):543-49. doi: 10.1055/s-0031-1285986. Epub 2011 Aug 23.
Finger pulp is a common site for hand injuries, and pulp reconstruction is significantly important for optimal handling and sensation. Ideal substitute must provide matching texture, tenacity, and slim subcutaneous fat. This article presents six cases in which fingertip and finger pulp reconstruction were performed via free dorsoulnar artery perforator (DUAP) flap. All flaps survived and all patients healed uneventfully without any complications by the end of at least 3 months follow-up. Free DUAP flap has proved to be a suitable substitute for pulp reconstruction with its thin structure, minimally morbid donor site which is also close to the trauma zone, and possibility for neurotization. It can be especially favorable when splitting the surgical team for a glabrous flap harvest from the foot is not possible.
指腹是手部常见的受伤部位，而指腹重建对于实现最佳的抓握和感觉功能非常重要。理想的替代品必须提供匹配的质地、韧性和纤细的皮下脂肪。本文介绍了 6 例通过游离背侧尺动脉穿支（DUAP）皮瓣进行指尖和指腹重建的病例。所有皮瓣均存活，所有患者在至少 3 个月的随访期内均未出现任何并发症，愈合良好。游离 DUAP 皮瓣具有薄的结构，供区微创且接近创伤区，同时还可以进行神经化，是一种用于指腹重建的合适替代品。当无法将手术团队分开从足部获取无皮区皮瓣时，它尤其有利。
