title: The "local dorsal adipofascial flap" for volar digital defects: a case report.
abstract: The coverage of volar digital defects can be achieved by a variety of surgical options. Although frequently used and reliable, these procedures entail the need for a second stage for flap release, meticulous dissection, sacrifice of a digital artery of the uninvolved digit, or delayed mobilization resulting in digital stiffness. The ideal surgical procedure for such defects should be a simple, single-stage surgery that allows early mobilization and return to function and at the same time avoiding unnecessary donor site morbidity from an uninvolved digit. The "local dorsal adipofascial flap" is a simple procedure that does not need a secondary procedure for flap release and affords early range of motion and return to function. We used this new flap technique in two digits with volar defects in a single patient. At ten months after flap coverage, the fingers were fully functional with good healing of the "local dorsal adipofascial flap."
authors.affiliation: Microsurgery Unit, Department of Orthopedics, UP-College of Medicine, Philippine General Hospital, University of the Philippines-Manila, Manila, Philippines. estee96@yahoo.com
authors.forename: Emmanuel P
authors.initials: EP
authors.lastname: Estrella
authors.forename: Ruth A
authors.initials: RA
authors.lastname: Padua
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D005205:Fascia / Q000637:transplantation*; D005383:Finger Injuries / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D053401:Palmar Plate / Q000293:injuries* / Q000601:surgery; D019651:Plastic Surgery Procedures / Q000379:methods*; D016038:Skin Transplantation / Q000379:methods*; D013524:Surgical Flaps; D055815:Young Adult