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The Qatari Flap for Fingertip Reconstruction: Versatility, Reliability, Clinical Applications, and Review of Literature

Version 2 2023-10-11, 11:02
Version 1 2023-09-20, 13:21
journal contribution
revised on 2023-10-11, 11:00 and posted on 2023-10-11, 11:02 authored by Salim Al Lahham, Ghanem Aljassem, Zaki Alyazji, Ruba Sada, Habib Albasti, Alreem Al-Khayarin, Heba Mogahed, Sara Al Harami, Abeer Al Sherawi

Background: Fingertip injuries are common; when the bone is exposed, it requires more than skin to cover the defect. After the introduction of the concept of per[1]forator flaps, trials have been made to reconstruct finger defects with perforator flaps. Here, we describe a series of fingertip injuries that were treated with reverse flow island finger perforator flap. Methods: We had 36 patients from January 2019 to June 2021, most of them male workers. We reported on the sizes of the defects and donor sites, the need to cover the pedicle with a skin graft, and complications. Patients were followed up for a period of 6 months, and the detailed elevation technique was mentioned. Results: Thirty-four flaps survived completely. In 50% of the cases, patients had congestion and epidermolysis with preserved underlying flap, which had normal healing course. Two patients with diabetes had infections; one of them had 40% necrosis of the flap, and one additional case had superficial eschar with preserved underlying flap tissues. Conclusions: Fingertip reconstruction rather than bone shortening is preferred to maintain the finger length. Multiple choices were suggested, but this flap had the disadvantage of limited coverage. After introducing the concept of perforator flaps into finger reconstruction, still more choices were added. The retrograde island digital artery perforator flap is a reliable choice, which is done in one stage and does not require loss of the digital artery.

Other Information

Published in: Plastic and Reconstructive Surgery-Global Open
License: http://creativecommons.org/licenses/by-nc-nd/4.0/
See article on publisher's website: http://dx.doi.org/10.1097/gox.0000000000005128

Funding

Open Access funding provided by the Qatar National Library.

History

Language

  • English

Publisher

Wolters Kluwer

Publication Year

  • 2023

License statement

This Item is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Institution affiliated with

  • Hamad Medical Corporation
  • Hamad General Hospital - HMC
  • Center for Patient Experience and Staff Engagement - HMC
  • Qatar University
  • Qatar University Health - QU
  • College of Medicine - QU HEALTH

Geographic coverage

Qatar

Usage metrics

    Hamad Medical Corporation

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