title: Homodigital neurovascular island flaps with "direct flow" vascularization.
abstract: Pulp loss of the fingers is frequently observed. When local advancement flaps are not sufficient to repair the defect, the homodigital monopedicled island flaps with "direct flow" are a simple and current reconstructive solution. Between 1991 and 1995, 32 homodigital neurovascular direct flow island flaps were performed for fingertip defects. We used a modified triangular Venkataswami flap for oblique amputations (26 patients) and the Mouchet-Gilbert island flap for tangential defects (6 patients). Our results (with excellent skin quality and good sensory recovery) lead us to consider these flaps as the first-choice reconstructive solution in patients with extensive but not complete pulp defects (< 2 cm) of the fingers.
authors.affiliation: Department of Orthopaedics, University of Modena, Italy.
authors.forename: R
authors.initials: R
authors.lastname: Adani
authors.forename: R
authors.initials: R
authors.lastname: Busa
authors.forename: C
authors.initials: C
authors.lastname: Castagnetti
authors.forename: A
authors.initials: A
authors.lastname: Bathia
authors.forename: A
authors.initials: A
authors.lastname: Caroli
mesh_terms: D000328:Adult; D000673:Amputation, Traumatic / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005385:Fingers / Q000098:blood supply / Q000601:surgery; D006801:Humans; D008297:Male; D013524:Surgical Flaps / Q000098:blood supply* / Q000379:methods; D016896:Treatment Outcome