Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2014 Nov;67(11):1557-63.
doi: 10.1016/j.bjps.2014.05.060. Epub 2014 Jun 5.

Free distal ulnar artery perforator flaps for the reconstruction of a volar defect in fingers

Affiliations

Free distal ulnar artery perforator flaps for the reconstruction of a volar defect in fingers

Juan Liu et al. J Plast Reconstr Aesthet Surg. 2014 Nov.

Abstract

Background: A volar defect in finger is a common manifestation in hand injuries, and proper volar coverage of fingers is of great significance for hand function and cosmetic appearance.

Purpose: The aim of our study is to investigate the feasibility of reconstructing a volar defect in fingers with the free ipsilateral distal ulnar artery perforator flap under the brachial plexus block.

Methods: Eight free distal ulnar artery perforator flaps were used to reconstruct volar defects in eight fingers. The involved fingers were three index fingers, three long fingers, one thumb, and one ring finger. The sizes of flaps ranged from 3.0 × 4.0 to 3.0 × 11.0 cm. All the flaps were harvested from the ipsilateral forearm of the injured fingers. The donor sites were primarily closed except in one case with a skin graft. The operation time ranged from 120 to 150 min, with an average of 130 min. All the operations were performed under brachial plexus block.

Results: All flaps survived completely without any complications during the 4-18 months follow-up. All the patients were satisfied with the hand function and the cosmetic appearance.

Conclusion: It might be a good workhorse flap to reconstruct the volar defects in fingers in hand surgery with the free distal ulnar artery perforator flaps.

Keywords: Finger; Free distal ulnar artery perforator flap; Microsurgery; Volar defects.

PubMed Disclaimer

LinkOut - more resources