title: Heterodigital vascular island flap for simultaneous resurfacing and revascularization of digits.
abstract: Devascularized digits with segmental skin and vessel loss require revascularization and resurfacing. This can be addressed by using a heterodigital vascular island flap. This flap brings with it an appropriately sized pristine artery of optimal length for revascularization and provides simultaneous skin cover. We describe 3 cases. Primary wound healing was achieved in all patients with good functional recovery and acceptable donor site morbidity. We compare the options available for reconstructing such defects and discuss other possible surgical indications for this flap.
authors.affiliation: Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.
authors.forename: Manzhi
authors.initials: M
authors.lastname: Wong
authors.forename: David Tan Meng
authors.initials: DT
authors.lastname: Kiat
authors.forename: Sandeep Jacob
authors.initials: SJ
authors.lastname: Sebastin
authors.forename: Ter Chyan
authors.initials: TC
authors.lastname: Tan
authors.forename: Yeong Pin
authors.initials: YP
authors.lastname: Peng
mesh_terms: D005260:Female; D005385:Fingers / Q000098:blood supply* / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods*; D013524:Surgical Flaps / Q000098:blood supply*