HOMODIGITAL DORSAL ADIPOFASCIAL REVERSE FLAP: ANATOMICAL STUDY OF DISTAL PERFORATORS AND KEY POINTS FOR SAFE DISSECTION

作者：Delia G; Casoli V; Sommario M; Risitano G; D'Alcontres F Stagno; Colonna M R^*

来源：Journal of Hand Surgery-European Volume, 2010, 35E(6): 454-458.

DOI：10.1177/1753193409360955

• blood supply
• dorsum of long fingers
• vascular injection
• anatomical dissection
• perforator vessels
• adipofascial flap
• eponychium
• nail bed complex

Dorsal adipofascial flaps have been used in the surgical reconstruction of complex injuries distal to the eponychial fold. Such injuries produce nail matrix devascularization/necrosis so that nail bed reconstruction can be a challenging technical problem. Irregular scarring of the nail bed and regrowth anomalies of the nail lamina can result, with both functional and cosmetic impairment of the finger. This study aimed to define the precise vascular anatomy of the dorsal adipofascial flap that has previously been used to reconstruct such complex soft tissue defects. Specifically, the purpose was to identify the key points of safe dissection for these flaps. Anatomical dissections were performed on 32 long fingers. The vascular tree was injected with suitable contrast and the distal dorsal region of the long fingers was studied.

• 出版日期2010-7