Prabhakar Waiker Veena, Kumar Shivalingappa Shantha, Mohan Kumaraswamy, Kamlapurmat Nagabhushanaiah Manjunath
Department of plastic surgery, Ramaiah Medical College, Bangalore, India.
World J Plast Surg. 2022;11(3):47-52. doi: 10.52547/wjps.11.3.47.
Fingertip injuries are common in plastic surgery practice, with multiple options for the treatment. Dorsal flag flap has been one of the options for the treatment and it has been explained as a proximally based flap. We have tried to understand the reliability of the distally based dorsal flag flap for the finger defects.
This work was a retrospective study of consecutive patients with fingertip injuries who had undergone the distally based dorsal flag flap for reconstruction.
Among 19 patients who underwent reconstruction with the flag flap, 16 hetero-digital flap reconstructions, while 4 homo-digital flap reconstructions were done. We lost one flap, which was used for the same fingertip reconstruction. We had four patients with fingertip ulceration on the flap by 2 months which healed by regular dressings.
Distally based dorsal flag flap robust flap, which has a narrow base thus, improves maneuverability and helps in bringing the fingers to a comfortable position.
指尖损伤在整形外科实践中很常见，治疗方法有多种。背侧旗状皮瓣一直是治疗选择之一，它被解释为一种以近端为蒂的皮瓣。我们试图了解以远端为蒂的背侧旗状皮瓣修复手指缺损的可靠性。
这项工作是对连续接受以远端为蒂的背侧旗状皮瓣修复的指尖损伤患者进行的回顾性研究。
在19例行旗状皮瓣修复的患者中，16例采用异体手指皮瓣修复，4例采用自体手指皮瓣修复。我们损失了一个用于同一指尖修复的皮瓣。有4例患者在术后2个月皮瓣出现指尖溃疡，经定期换药后愈合。
以远端为蒂的背侧旗状皮瓣是一种可靠的皮瓣，其蒂部狭窄，因此提高了可操作性，并有助于将手指置于舒适的位置。
