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The authors present 20 cases of digital neurovascular island flaps applied in acute injuries. Sixty-one patients treated over the last 3 years of severe digital tissue losswere analysed. Eight patients were treated with direct island flaps to restore skin and sensibility of small oblique distal losses.

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The donor site is closed with a skin graft. In a second stage weeks later, the pedicle is divided and the fingers separated. See also: cross flap.

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Either your web browser doesn't support Javascript or it is currently turned off. In the latter case, please turn on Javascript support in your web browser and reload this page. The finger skin and soft-tissue defects are reconstructive challenges due to their nature and the intricate extensor apparatus and flexors it protects.

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Background and study aims The finger pulp flesh plays an important role in tactile touch sensation. Restoring sensation to the finger pulp is essential for daily activities. Currently, sensory reconstruction of finger pulp defects remains a challenging task for plastic and hand surgeons. Some random-pattern skin flaps, such as thenar flap, conventional cross-finger flap, and abdominal flap, have been used for finger pulp reconstruction.

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Fingertip injuries can occur in accidents at home, work, or play. An injury can involve a sharp cut, a crushing injury, a tearing injury, or a combination of these injury types. An amputation can result from slamming your finger in a car door or catching your ring on a hook or nail.

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Pedicled groin flap is a treatment option in use for hand defects caused by trauma or other etiologic factors. It gains particular significance in multiple finger defects, especially in those with one intact digital artery or in hand defects that cannot be reconstructed with regional flaps. Although several studies have reported the use of split groin flap in the reconstruction of such defects, no previous study has reported cases where specifically complex volar defects of two adjacent fingers.


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