The Clinical Effect of Digital Dorsal Fascial Island Flap Combined With Crossfinger Flap for Repairing Distal Degloving Injury and Sensory Reconstruction.

Ruizheng Hao,Hui Wang,Wei Liu,Yongxin Huo

doi:10.3389/fsurg.2021.732597

Abstract

BackgroundTo explore the clinical effect of digital dorsal fascial island flap combined with crossfinger flap to repair distal degloving injury and sensory reconstruction.MethodsA total of 19 patients with distal fingertip degloving injuries treated with digital dorsal fascial island flap combined with crossfinger flap in our hospital from April 2018 to August 2020 were retrospectively included. Semmes–Weinstein (SW) monofilament and static two-point discrimination (S-2PD) tests, active range-of-motion (ROM) of the fingers, cold intolerance, visual analog scale (VAS) score patient complications, and patient satisfaction were evaluated.ResultsFive cases with post-operative flap blisters were treated at the time of dressing changes until successful scab formation. Three cases with post-operative arterial crisis of finger arterial dorsal branch vessel were relieved after suture removal and tension reduction. All other skin flaps and skin grafts survived. Nineteen patients received follow-up between 3 and 26 months (average 14.6 months). The active ROM of metacarpophalangeal (MCP) and interphalangeal (IP) joints of the injured fingers were satisfactory.ConclusionThe digital dorsal fascial island flap combined with the crossfinger flap for repairing the distal degloving injury of the distal segment of the finger is a good surgical method, which is simple and easy to operate, can repair a large area of soft tissue defect, and obtain a satisfactory effect.

Highlights

Distal degloving injury is a common hand surgery injury with various repair methods, but improper treatment will seriously affect the post-operative appearance and function [1]
A two-leaf tile flap composed of the digital dorsal fascial island flap of the injured finger and the crossfinger flap was used to repair the degloving injury of the distal segment of the finger
A two-leaf tile flap composed of the digital dorsal fascial island flap of the injured finger and the crossfinger flap was used to repair the detachment of the distal segment of the finger

Summary

Introduction

Distal degloving injury is a common hand surgery injury with various repair methods, but improper treatment will seriously affect the post-operative appearance and function [1]. Revision amputation is simple, the length defect of the finger is compromised after operation. Abdominal pedicled tubular flap can preserve the length of the finger, the finger is edematous and the sensory recovery is poor after surgery. Repairing Distal Degloving Injury Case Sex. Defect size (cm × cm) Palmar of finger Dorsal of finger. Flap size (cm × cm) Palmar of finger Dorsal of finger. To explore the clinical effect of digital dorsal fascial island flap combined with crossfinger flap to repair distal degloving injury and sensory reconstruction

Methods

Results

Conclusion