Adipofascial turnover flap for the coverage of the dorsum of the thumb: an anatomic study and clinical application

The Journal of Hand Surgery, European Volume
J Braga SilvaG L da Cunha

Abstract

The purpose of this report is to show how our anatomical findings have influenced the design of the dorsal homodigital adipofascial turnover arterial flap to the thumb. Thirty-six thumbs from 18 fresh cadavers were dissected at the Fèr à Moulin Laboratoire (Paris, France) between January 1998 and March 1999. All branches of the proper digital artery (PDA) were identified. During the clinical study, from 2002 to 2008, 12 patients with dorsal thumb skin defects were treated with adipofascial turnover flaps. The dorsal branches of the PDA typically emerge at the level of the metacarpophalangeal and interphalangeal joints, 10 mm apart from the joint line. Based on the anatomical study, the flap could be designed predictably and reliably. The main advantages of dorsal adipofascial turnover flaps include their simplicity; the possibility of a one stage procedure; avoiding the use of tissue from elsewhere on the limb/body; minimal donor-site deformity; and avoidance of damage to the volar digital arteries.

References

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Mar 10, 2006·Plastic and Reconstructive Surgery·Francesco Moschella, Adriana Cordova

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Citations

Dec 3, 2013·Current Reviews in Musculoskeletal Medicine·Jun MatsuiMartin I Boyer
Jan 25, 2013·The Journal of Hand Surgery, European Volume·E C DemiriE G Lykoudis
Oct 19, 2017·Hand : Official Journal of the American Association for Hand Surgery·Roberto AdaniGiovanna Petrella

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Methods Mentioned

BETA
dissection
dissections

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