Ma Junwei, Ding Yunqi, Xu Lina, Zou Haibo, Wu Jinsheng, Shen Lin, Xing Changtai, Liu Yue, Zhou Zehui, Zhan Jie
Hand Surgery Department, Central Hospital Affiliated to Shenyang Medical Collage, Shenyang, China.
Department of Orthopedic Surgery, First Affiliated Hospital, China Medical University, Shenyang, China.
Front Surg. 2023 Apr 12;10:1127356. doi: 10.3389/fsurg.2023.1127356. eCollection 2023.
The reverse digital artery island flap (RDAF) is widely used in repairing fingertip skin defects based on its good appearance and practicability. However, the donor area of the flap needs skin grafting, which can lead to complications. This retrospective study explored the clinical application of digital dorsal advance flap (DDAF) in repairing the donor site of the reverse digital artery island flap.
From June 2019 to February 2022, 17 patients with a soft tissue defect of the finger had been restored with the reverse digital artery island flap, and at the same time, the donor area was repaired with digital dorsal advance flap (DDAF). The sensitivity, the active range of motion (ROM) and patient satisfaction were assessed after the operation.
All flaps survived completely without skin grafting with only one linear scar. The sensory and motor functions of all patients recovered well. Assessment based on the Michigan Hand Outcomes Questionnaire (MHQ) showed satisfactory functional recovery for all patients.
Reconstruction using RDAF combined with DDAF represents an effective alternative for repairing fingertip skin defects.
逆行指动脉岛状皮瓣（RDAF）因其良好的外观和实用性，在修复指尖皮肤缺损方面得到广泛应用。然而，该皮瓣供区需要植皮，这可能会导致并发症。本回顾性研究探讨了指背推进皮瓣（DDAF）在修复逆行指动脉岛状皮瓣供区的临床应用。
2019年6月至2022年2月，17例手指软组织缺损患者采用逆行指动脉岛状皮瓣修复，同时采用指背推进皮瓣（DDAF）修复供区。术后评估感觉功能、主动活动范围（ROM）及患者满意度。
所有皮瓣均完全成活，无需植皮，仅留一条线性瘢痕。所有患者的感觉和运动功能恢复良好。基于密歇根手功能结果问卷（MHQ）的评估显示，所有患者的功能恢复情况令人满意。
RDAF联合DDAF修复是修复指尖皮肤缺损的一种有效替代方法。
