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Corresponding Author

Mohamed Elsayed Badwy

Document Type

Original Article

Abstract

Background: Finger perforator flaps are also known as digital artery perforator (DAP) flaps since their blood supply originates in the correct digital artery. A perforating vessel originating from the digital artery adjacent to the distal interphalangeal joint (DIPJ) is responsible for the flap that is raised on the lateral surface of a finger.

Aim and objectives: To evaluate the dorsal digital perforator Flap in fingertip injury reconstruction.

Subjects and methods: This study included 20 patients suffering from fingertip injuries. Selected from those who are seeking treatment in the emergency room of the plastic surgery department, Al-Hussien & Bab Elsheria University Hospital, Faculty of Medicine, Alazhar University Nasser Institution Hospital (Cairo).

Results: There was no significant difference between 2 points discrimination value between the injured hand and contralateral hand or between injured fingers and other fingers in the same hand. All patients were satisfied with their scar appearance. 3 patients had venous congestion. One patient had a postoperative infection subside by local wound care. 2 patients had superficial ischemia in the flap that healed by the second intention.

Conclusion: Dorsal digital perforator flaps appear to provide outstanding functional and aesthetic effects in reconstructing fingertip injuries without compromising the digital artery. In addition to allowing for full active finger motion, the dorsal digital perforator flaps have been related to a low incidence of problems and morbidities.

Keywords

Propeller Flap; Fingertip Reconstruction; Perforator Flap, Dorsal Digital Artery Perforator Flap; Dorsal Digital Artery

Subject Area

Plastic surgery

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