[Neurovascular flaps for the reconstruction of fingertip injuries].
The fingertip is an extremely specialized end organ with a highly developed sense of touch. In this article, we present the different ways of reconstructing a traumatized fingertip. Additionally, we systematically explain the differential indications for the different techniques available. The whole spectrum of fingertip reconstruction is discussed, starting from local neurovascular flaps (palmar VY-Atasoy flap, Kutler flap, palmar Moberg flap, lateral Venkataswami and Subramanian flap, palmar Hueston flap), distant flaps (Littler flap, Foucher flap, dorsal metacarpal artery flap, cross-finger flap, reversed cross-finger flap) and finally free flap transfer (free toe-pulp transfer, spare-part transplantation). The advantages and disadvantages of each flap are highlighted. We develop an algorithm to facilitate finding the correct type of reconstruction.
Meyer-Marcotty
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Plastische, Hand- und Wiederherstellungschirurgie, Medizinische Hochschule Hannover, Replantationszentrum, Schwerbrandverletztenzentrum, Carl-Neuberg-Strasse 1, 30625, Hannover, Germany. Maxmeyermarcotty@gmx.de
Kall
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Vogt
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PM
D000673:Amputation, Traumatic / Q000601:surgery*; D062109:Dermatologic Surgical Procedures; D004867:Equipment Design; D005383:Finger Injuries / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic; D010818:Practice Patterns, Physicians'; D019651:Plastic Surgery Procedures / Q000295:instrumentation* / Q000379:methods*; D012867:Skin / Q000098:blood supply / Q000293:injuries* / Q000294:innervation; D013524:Surgical Flaps