[Repairing the defects of volar surface of distal finger with a reverse insular fascial flap of dorsum of juxta positioned digit].
OBJECTIVE
To introduce a method for one-stage repair of skin defects of the volar surface of distal finger or fingers.


METHODS
The reverse fascial flap was designed and created on the dorsum of the juxta positioned digit, and it was then rotated 180 degrees to cover the defects of the volar surface of the distal finger. Since May 1992, a total of 20 reverse fascial flaps were used to treat 14 patients.


RESULTS
All flaps survived except one with partial necrosis. Follow-up of one half to one year showed satisfactory results functionally and cosmetically. The finger is plump but not swollen.


CONCLUSIONS
The method is easy and effective. The surgical treatment requires short time and causes little pain. The flap has good blood supply, suitable thickness, softness and resistance to wear and tear.
Zhou
H
H
Department of Burns and Plastic Surgery, Laiyang Central Hospital, Yantai, Shandong, 265200.
Jiang
Y
Y
Wang
L
L
D000293:Adolescent; D000328:Adult; D002058:Burns, Electric / Q000601:surgery*; D005260:Female; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000098:blood supply*; D013524:Surgical Flaps