Abstract
Objective To investigate the clinical effects of bilateral digital neurovascular advancement flap for repair of soft tissue defects of the fingertip.Methods From January 2010 to October 2011,9 cases of fingertip defects were treated with bilateral digital neurovascular advancement flap from the same finger.The defect sizes ranged from 2.0 cm× 1.8 cm to 1.5 cm × 1.5 cm.Results All 9 flaps survived after the operation.These cases were follow-up for 14 to 20 months,16 months on average.The flaps had good appearance and fingertips were full.There was no hooked nail deformity and tenderness of the scar in the pulp.Two-point discrimination was 3 to 5 mm.Sweating was normal.The function of finger motion returned to 0° to 60°.According to the upper limb function assessment criteria issued by the Chinese Hand Surgery Society,the results of the 9 cases were graded as excellent.Conclusion Transfer of bilateral digital neurovascular advancement flap for reconstruction of fingertip defect is a simple and ideal method for reconstruction of thumb or finger tip defects with satisfactory clinical results. Key words: Finger injuries; Surgical flaps; Repair
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