Versatility of the homodigital triangular neurovascular island flap in fingertip reconstruction.
This paper reports 25 cases of a versatile homodigital triangular neurovascular island flap for fingertip reconstruction. This flap was used to reconstruct traumatic oblique palmar amputations, with loss of fingertip pulp requiring advancement of not more than 2 cm. Good results were obtained in terms of fingertip contour and padding, sensibility, and functional recovery. The tendency for flexion contracture at the PIP joint was prevented by using a dynamic extension splint at night. Cold intolerance must be expected, especially in cold countries.
Lanzetta
M
M
Department of Plastic Surgery, Maisonneuve-Rosemont Hospital, University of Montreal, Canada.
Mastropasqua
B
B
Chollet
A
A
Brisebois
N
N
D000293:Adolescent; D000328:Adult; D000368:Aged; D000673:Amputation, Traumatic; D004954:Esthetics; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011379:Prognosis; D016059:Range of Motion, Articular; D012677:Sensation; D013524:Surgical Flaps / Q000379:methods*; D014945:Wound Healing