Reconstruction of soft tissue defects around the knee with the use of the lateral sural fasciocutaneous artery island flap

1999 ◽  
Vol 22 (1) ◽  
pp. 12-16 ◽  
Author(s):  
N. Rajacic ◽  
R. K. Gang ◽  
M. Darweesh ◽  
N. Abdul Fetah ◽  
S. Kojic
Keyword(s):  
Soft Tissue ◽  
Island Flap ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals Hypothenar island flap: A safe and excellent choice for little finger defects

2015 ◽  
Vol 48 (03) ◽  
pp. 288-292 ◽  
Author(s):  
Mehmet Tapan ◽  
Murat Iğde ◽  
Ali Rıza Yıldırım ◽  
Yağmur Yaprak Balı ◽  
Sedat Yılancı ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Clinical Results ◽  
Island Flap ◽  
Vascular Pedicle ◽  
Soft Tissue Defects ◽  
Texture Match ◽  
Tissue Defects ◽  
Little Finger ◽  
Clinical Cases

ABSTRACTSoft-tissue defects of the little finger are challenging especially when bone, tendon or vascular pedicle is exposed because of trauma. The hypothenar island flap is easy to harvest and has a good colour and texture match to the little finger pulp. We present nine clinical cases of soft tissue defects of the little finger covered using the reversed hypothenar fasciocutaneous island flap. This article intends to highlight the ease of elevation and good clinical results of the hypothenar flap which is rarely used.

Free and island flap transfer for soft tissue defects in the hand and forearm

Microsurgery ◽  
1996 ◽  
Vol 17 (3) ◽  
pp. 150-154 ◽  
Author(s):  
Hiroshi Yajima ◽  
Susumu Tamai ◽  
Akihiro Fukui ◽  
Hiroshi Ono ◽  
Yuji Inada
Keyword(s):  
Soft Tissue ◽  
Island Flap ◽  
Soft Tissue Defects ◽  
Flap Transfer ◽  
Tissue Defects

Reconstruction of Distal Phalangeal Soft Tissue Defects with Reverse Homodigital Artery Island Flap

2014 ◽  
Vol 23 (2) ◽  
pp. 65-69
Author(s):  
Byung-Gook Kim ◽  
Soo-Hong Han ◽  
Ho-Jae Lee ◽  
Soo-Hyun Lee
Keyword(s):  
Soft Tissue ◽  
Island Flap ◽  
Soft Tissue Defects ◽  
Tissue Defects

scholarly journals Treatment of children with skin and soft tissue defects of distal phalanges of the fingers

2020 ◽  
Vol 10 (3) ◽  
pp. 293-298
Author(s):  
Sergey N. Berezutskii ◽  
Alexey G. Pinigin
Keyword(s):  
Blood Flow ◽  
Soft Tissue ◽  
Skin Grafting ◽  
Point Of View ◽  
Island Flap ◽  
Soft Tissue Defects ◽  
Number Of Children ◽  
Neurovascular Pedicle ◽  
The Right ◽  
Tissue Defects

Introduction. This article discusses the relevance of performing organ-preserving operations for traumatic skin and soft tissue defects in children. The author analyzes the traditional types of skin grafting procedures and their application in children. From the authors' point of view, the most acceptable skin grafting method is a displaced island flap on a neurovascular pedicle with direct blood flow. Materials and methods. The operating technique of lifting a displaced island flap on a neurovascular pedicle with direct blood flow is shown. The features of its implementation, the number of children, and their distribution by groups are shown. From 2016 to 2019, 15 children with traumatic defects of the distal phalanges of the fingers were operated on in the microsurgical Department of the Khabarovsk KKB No. 2 using a displaced neurovascular island flap on the leg with direct blood flow. The children ranged in age from four to 14 years. The number of children and the frequency of damage to the right and left hands was approximately the same. Results. Positive results of using this technique in the Department of Microsurgery of KKB No. 2 are presented. In all cases, it was possible to close the existing defects with the primary closure of the donor defect simultaneously; Sensitivity was preserved in all operated children, and movements in the finger joints were almost complete. Discussion. This flap method has undeniable advantages, although it is quite time-consuming and requires microsurgical skills, techniques, and appropriate equipment. The proposed skin grafting results are encouraging and satisfying for both doctors and children with parents. Conclusions. The authors recommend this skin grafting method for traumatic defects of the distal phalanges of the fingers in children.

scholarly journals A complex soft tissue reconstruction of distal phalanges in children

2021 ◽  
Vol 11 (1) ◽  
pp. 27-38
Author(s):  
Alexander V. Alexandrov ◽  
Pavel V. Goncharuk ◽  
Lamiya Ya. Idris ◽  
Vsevolod V. Rybchenok ◽  
Alexander A. Smirnov
Keyword(s):  
Soft Tissue ◽  
Skin Graft ◽  
Reverse Flow ◽  
Island Flap ◽  
Full Thickness ◽  
Soft Tissue Defects ◽  
Full Thickness Skin Graft ◽  
Cold Intolerance ◽  
Thickness Skin ◽  
Tissue Defects

BACKGROUND: Injuries of distal phalanges are the most common type of hand trauma in children. The problem of coverage of soft tissue defects of distal phalanges remains. Many methods of coverage of distal phalanges defects have been developed. There is no generally accepted approach or an algorithm in treatment of adults and children with such type of trauma. AIM: This study aimed to reveal the most universal method of coverage of distal phalanges defects in children using various reconstruction methods that are used at the Department of Reconstructive Microsurgery of Filatov State Children Hospital. MATERIALS AND METHODS: From 2019 to 2020, 70 children with defects of distal phalanges were treated. The coverage of defects was performed by using a flap (n = 23), cross-finger flap (n = 5), V-Y advancement flap (n = 28), reverse-flow homodigital island flap (n = 11), and full-thickness skin graft (n = 3). Results of the defect coverage were evaluated by objective (difference between the lengths of the operated and contralateral phalanges, two-point discrimination test, presence/absence of stiffness in the distal interphalangeal joint) and subjective (definition of cold intolerance, Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire) criteria. RESULTS: The largest difference between the lengths of the operated and contralateral phalanges was obtained in V-Y plasty. The two-point discrimination sensitivity was the highest in V-Y plasty and a little less with island flap. Cold intolerance was the most common complication of homodigital island flap. Results of the DASH survey was the best in the homodigital island flap and full-thickness skin graft. CONCLUSION: Based on the analysis of the experience of surgeries to close soft tissue defects of the nail phalanges, the best results were obtained with reverse-flow homodigital island, which is considered as the most versatile and reliable approach.

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