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Abstract

ABSTRACT:BACKGROUND:Fingertip injuries are among the most common injuries to upper extremities. Maintenance the functional length of the finger and reconstruction with a durable sensate coverage are among the primary goals in fingertip reconstruction. The aim of this study is to evaluate the use of Propeller digital artery perforator flap in covering traumatic fingertip defects.PATIENTS AND METHODS: A prospective study done between April 2019 and January 2020 for 11 patients suffering from traumatic fingertip amputations who underwent reconstruction with propeller digital artery perforator flap. The flap designed on the radial or ulnar aspect of the digit based on perforator closest to the defect which is detected intra-operatively without use of Doppler device. We cover the defect with this flap and evaluate its functional and aesthetic outcomes.RESULT:Patient’s age ranged between 15 - 45 years. All flaps survived completely except one flap developed partial skin necrosis. The donor site closed primarily in six of patients and covered with full thickness skin graft in five of them. Temporary venous congestion observed in five cases. Static two-point discrimination test ranged between 3-6 mm. The flaps had good sensation and contour.CONCLUSION:Propeller digital artery perforator flap is a reliable one stage procedure, replace tissue of similar characteristics to the original defect digital neurovascular bundle that can be used for all types of fingertip injury.  

DOI

10.52573/ipmj.2023.181171

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