Thumb reconstruction using the radial midpalmar (perforator-based) island flap (distal thenar perforator-based island flap)

Plastic and Reconstructive Surgery
Kwang Seog KimSam Yong Lee

Abstract

Although the reconstruction of palmar defects of the thumb with exposed vital structures is difficult because of a lack of locally available tissue, several local flaps are available for the reconstruction of these defects. The majority of these flaps are raised from the dorsal or dorsolateral aspect of the thumb and index finger or from the forearm. Between 1998 and 2008, 23 patients underwent reconstruction of palmar defects of the thumb at Chonnam National University Medical School, using the radial midpalmar (perforator-based) island flap (distal thenar perforator-based island flap), a perforator-based island flap harvested from the radial aspect of the midpalm and based on perforators from the terminal branch of the superficial palmar arch and the princeps pollicis artery. All flaps survived completely. Flap sizes ranged from 2 to 4 cm in width and from 2.5 to 6 cm in length. Donor sites were closed primarily in 10 patients and covered with skin grafts in 13 patients. Healing of all donor sites was uncomplicated, and donor-site morbidity was minimal with acceptable scarring. Long-term follow-up ranging from 6 to 37 months (mean, 16 months) revealed excellent flap sensibility. The radial midpalmar (perforator-based) island ...Continue Reading

References

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

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Citations

Oct 22, 2013·Aesthetic Plastic Surgery·Giorgio MerlinoSalvatore Carlucci
Jun 14, 2013·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Kwang Seog KimSam Yong Lee
Jul 6, 2014·Clinics in Plastic Surgery·Zeng Tao Wang, Wen Hai Sun
Mar 1, 2012·The British Journal of Oral & Maxillofacial Surgery·Alexander GagglJohannes Hachleitner
Aug 4, 2015·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Da-Wei ZhengKui-Shui Shou
Feb 24, 2015·The Journal of Hand Surgery·Mitsuhiro OkadaHiroaki Nakamura
Sep 25, 2014·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Fortune C IwuagwuAftab Siddiqui
Feb 24, 2012·The Journal of Hand Surgery, European Volume·J Braga SilvaG L da Cunha
Nov 16, 2016·Annals of Plastic Surgery·Baek-Kyu KimHak Chang
Feb 3, 2015·Annals of Plastic Surgery·Ammar Al-DhaminSteven F Morris
Mar 7, 2021·Annals of Plastic Surgery·Dallan DarganDavid Ralston

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