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Journal of Hand Surgery (British and European Volume)
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Articles

Versatility of the Homodigital Triangular Neurovascular Island Flap in Fingertip Reconstruction

M. LANZETTA
B. MASTROPASQUA
A. CHOLLET
N. BRISEBOIS

From the Department of Plastic Surgery, Hand and Microsurgery Unit, Maisonneuve-Rosemont Hospital, University of Montreal, Canada

Correspondence: Marco Lanzetta, MD, Bernard O’Brien Institute of Microsurgery, 42 Fitzroy Street, Victoria 3065, Australia.

This paper reports 25 cases of a versatile homodigital triangular neurovascular island flap for fingertip reconstruction. This flap was used to reconstruct traumatic oblique palmar amputations, with loss of fingertip pulp requiring advancement of not more than 2 cm. Good results were obtained in terms of fingertip contour and padding, sensibility, and functional recovery. The tendency for flexion contracture at the PIP joint was prevented by using a dynamic extension splint at night. Cold intolerance must be expected, especially in cold countries.

Journal of Hand Surgery (British and European Volume), Vol. 20, No. 6, 824-829 (1995)
DOI: 10.1016/S0266-7681(95)80056-5


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This article has been cited by other articles:


Home page
J Hand Surg Eur VolHome page
J. BAKHACH, J. C. GUIMBERTEAU, and B. PANCONI
The Gigogne Flap: An Original Technique for an Optimal Pulp Reconstruction
J Hand Surg Eur Vol., April 1, 2009; 34(2): 227 - 234.
[Abstract] [Full Text] [PDF]