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Soft tissue defects coverege in fingers using the bilobed digital artery perforator flap
Dinu Iuliu Dumitrascu, MD, PhD1; Alexandru Georgescu, Prof, MD, PhD2
1UMF Cluj, Cluj-Napoca, Romania; 2Plastic Surgery and Reconstructive Microsurgery Clinic, UMF Iuliu Hatieganu, Cluj Napoca, Romania

Introduction: The coverage of soft tissue defects in fingers are a constant provocation in the field of hand and plastic surgery. The aim of the treatment, in such cases, is to achieve a result both functional and cosmetically accepted. The answer to these demands might be the the digital artery perforator flaps. In this study we investigated the results obtained after the use of this method.

Materials and methods: A total of 43 patients with soft tissue defects in fingers, were operated using this technique (study period: 2006 2016). The sex ratio was 34 males to 9 women. The etiology of the defects was posttraumatic in 32 cases, post combustional scars in 8 cases, and postsurgical (tumor removal) in 3 cases.

Results: In our hands, the survival rate was 100%. Minor marginal necrosis of the tip of the flap occurred in 4 cases. Patient satisfaction was high with good cosmetic and funtional outcome. No sensitivity loss was described, while a fast recovery was possible due to early hand therapy.

Conclusions: The bilobed digital artery perforator flaps is a reliable flap that requires a not complicated dissection technique. The end results offer a good functional and aesthetical result for the treatment of finger soft tissue defects.


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